Active NPI
Rebecca Ann Ruiz
- Addiction (Substance Use Disorder) Counselor
- Colton, CA
National Provider Identifier
1417253758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- AII10310715
- Practice address
- 23950 Prado LN
Colton, CA 92324-9734 - Phone
- (909) 514-1958
- NPI assigned
- Feb 3, 2011
- Last updated
- Oct 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AII10310715 | CA | Primary |
Addresses
Primary practice location
23950 Prado LN
Colton, CA 92324-9734
Mailing address
3286 E Guasti Rd Ste 100
Ontario, CA 91761-8646
Phone (909) 476-2023
Other practice location 1
1124 Baker St
Bakersfield, CA 93305-4322
Phone (661) 327-9376
Other names 1
- Rebecca Ruiz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AII10310715 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G & C Swan Inc | Current | Accepting new patients | |
| G & C Swan Inc | Past | Accepting new patients | |
| G & C Swan Inc | Past | Accepting new patients | |
| Community Service Organization Behavioral Health Program | Past | Accepting new patients | |
| Comminity Services Organization Brotherhood Center | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Addiction (Substance Use Disorder) Counselor
- Bakersfield, CA
- NPI 1851795934
-
dba Brotherhood Center
- Community/Behavioral Health Agency
- Bakersfield, CA
- NPI 1851427322
-
dba New Creation Addiction Treatment Center
- Substance Abuse Rehabilitation Facility
- Claremont, CA
- NPI 1740569235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1417253758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3286 E GUASTI RD STE 100",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917618646",
"telephone_number": "909-476-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23950 PRADO LN",
"city": "COLTON",
"state": "CA",
"postal_code": "923249734",
"telephone_number": "909-514-1958"
}
],
"practiceLocations": [
{
"address_1": "1124 Baker St",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933054322",
"country_code": "US",
"telephone_number": "661-327-9376",
"fax_number": "661-327-7649",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUIZ",
"first_name": "REBECCA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-03",
"last_updated": "2023-10-06",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "AII10310715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "RUIZ",
"credential": "CADTP LL",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.