Active NPI
Maria Elena Ruiz, RN
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1508200858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 307056
- Practice address
- 700 Tiverton Ave
Factor Building Room 5-145
Los Angeles, CA 90095-6919 - Phone
- (310) 206-3339
- NPI assigned
- Apr 17, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 307056 | CA | Primary |
Addresses
Primary practice location
700 Tiverton Ave
Factor Building Room 5-145
Los Angeles, CA 90095-6919
Mailing address
560 S Arroyo Blvd
Pasadena, CA 91105-2403
Phone (626) 644-5331
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307056 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1508200858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 S ARROYO BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052403",
"telephone_number": "626-644-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 TIVERTON AVE",
"address_2": "FACTOR BUILDING ROOM 5-145",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900956919",
"telephone_number": "310-206-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "MARIA",
"middle_name": "ELENA",
"name_prefix": "Prof.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-17",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "307056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.