Adrian Carlos Ruiz

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1244120217 Issued in CA

Practice address

125 Rigg St
Santa Cruz, CA 95060-4203

Phone

(831) 423-3890

NPI assigned

Jun 15, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Encompass Community Services

  • Substance Abuse Rehabilitation Facility
  • Santa Cruz, CA
  • NPI 1538385562
  NPD (past)
• Scccc

  • Substance Abuse Rehabilitation Facility
  • Santa Cruz, CA
  • NPI 1659629863
  NPD (past)

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1477047371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 ENCINAL ST STE 200",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602178",
            "telephone_number": "831-469-1700",
            "fax_number": "831-425-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RIGG ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604203",
            "telephone_number": "831-423-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ADRIAN",
        "middle_name": "CARLOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1244120217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CALIFORNIA",
            "identifier": "XEH906388190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Rudolph
• Misty Ruelas
• Andres Ruiz Perez
• Mia Ruiz Valencia
• Sandra Ruiz-Tadeo
• Claudia Ruiz
• Jennifer Ruiz
• Loretta Jane Ruiz
• Maria Ruby Ruiz, B.A
• Rebecca Monique Ruiz

• Addiction (Substance Use Disorder) Counselor in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.