Benjamin Ruiz Villalpando

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

10563 Mills Ave
Montclair, CA 91763-4610

Phone

(909) 626-4020

Fax

(909) 839-6051

NPI assigned

Jan 15, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A Tu Salud a Medical Corporation

  • Family Medicine Physician
  • Montclair, CA
  • NPI 1568567600
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1396556783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15207 CRAZY HORSE AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365321",
            "telephone_number": "909-240-3815",
            "fax_number": "909-839-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10563 MILLS AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634610",
            "telephone_number": "909-626-4020",
            "fax_number": "909-839-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ VILLALPANDO",
        "first_name": "BENJAMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://ewebapp.iehp.org/ProviderPortal/account/login",
            "affiliation": "N",
            "endpointDescription": "IEHP PROVIDER PORTAL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "10563 Mills Ave",
            "city": "Montclair",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917634610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alejandro Ruano
• Britt Rubino
• Matthew Rubright
• Ethel Rucker
• Alexia Ruiz Alvarez
• Gwendolyn Ruiz-Gonzales
• Ashley Ruiz
• Christie Ruiz
• Siani Maria Ruiz
• Vanessa Louise Russell

• Community Health Worker in Montclair, CA
• Providers in Montclair, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.