Active NPI
Jill Ruby Runas, NP
- Nurse Practitioner
- Pico Rivera, CA
National Provider Identifier
1497184352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 22997
- Practice address
- 6336 Passons Blvd
Pico Rivera, CA 90660-3355 - Phone
- (562) 949-0965
- NPI assigned
- Nov 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 710801 | CA | |
| Nurse Practitioner | 363L00000X | 22997 | CA | Primary |
Addresses
Primary practice location
6336 Passons Blvd
Pico Rivera, CA 90660-3355
Mailing address
26051 Frampton Avenue
Harbor City, CA 90710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140710002342 | CA | Order and Referring Only - Nurse Practitioner | 9739304502 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 710801 | CA | MD | Registered Nurse |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1497184352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26051 FRAMPTON AVENUE",
"city": "HARBOR CITY",
"state": "CA",
"postal_code": "90710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6336 PASSONS BLVD",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906603355",
"telephone_number": "562-949-0965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNAS",
"first_name": "JILL RUBY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-01",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "710801",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "22997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pico Rivera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.