Active NPI
Socorro Romo de Ruiz, COMMUNITY HEALTH
- Community Health Worker
- Corona, CA
National Provider Identifier
1477305977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 217 E 3Rd St
Corona, CA 92879-1438 - Phone
- (951) 273-1188
- NPI assigned
- Apr 5, 2024
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
217 E 3Rd St
Corona, CA 92879-1438
Mailing address
407 E Gilbert St Ste 1
San Bernardino, CA 92404-5325
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino Physicians Associates, a Medical Corporation | Current | Accepting new patients |
Locations
407 E Gilbert St
Ste 1
Sn Bernrdno, CA 92404
Phone (909) 889-1136
Organizations & group practices 1
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.
-
dba San Bernardino Clinica Medica Familiar
- Family Medicine Physician
- San Bernardino, CA
- NPI 1487752895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1477305977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 E GILBERT ST STE 1",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924045325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 E 3RD ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928791438",
"telephone_number": "951-273-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMO DE RUIZ",
"first_name": "SOCORRO",
"credential": "COMMUNITY HEALTH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-05",
"last_updated": "2024-04-05",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.