Eloisa Ruano Masror, MA, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1128 Edwards Ave
Santa Rosa, CA 95401-8801

Phone

(707) 303-8435

NPI assigned

Dec 12, 2022

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

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.

• Ywca Sonoma County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Rosa, CA
  • NPI 1902471394
  NPD

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1427769272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11393",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954061393",
            "telephone_number": "707-303-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 EDWARDS AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954018801",
            "telephone_number": "707-303-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASROR",
        "first_name": "ELOISA",
        "middle_name": "RUANO",
        "credential": "MA, AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ywcasc.org",
            "affiliation": "Y",
            "affiliationName": "YWCA Sonoma County",
            "address_1": "1128 Edwards Ave",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954018801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Mascitelli, RPH
• Acacia Mason, DC
• Antoinette Jenna Mason, MD
• Hailey Jean Mason
• William Henry Mason, DPM
• Massage for Athletes, Inc.
• Henri Raymond Masse, GNP
• Kevin Massey, N.P.
• Heather Lea Massie, PT
• Monty Massie

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.