Active NPI
Jessica Ruano
- Nurse Practitioner
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95017725
- Practice address
- 2905 Telegraph Ave
Berkeley, CA 94705-2017 - Phone
- (510) 841-4525
- NPI assigned
- Apr 22, 2022
- Last updated
- Feb 13, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95017725 | CA | Primary |
Addresses
Primary practice location
2905 Telegraph Ave
Berkeley, CA 94705-2017
Mailing address
2905 Telegraph Ave
Berkeley, CA 94705-2017
Phone (510) 841-4525
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2905 Telegraph Ave
Berkeley, CA 94705-2017
Phone (510) 841-0411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J M Geiss DO Apc | Single Specialty | Current | Accepting new patients |
| East Bay Nephrology Medical Group, Inc. | Single Specialty | Current | Accepting new patients |
| California PHS PC | Single Specialty | Current | Accepting new patients |
| East Bay Nephrology Medical Group, Inc. | Single Specialty | Current | Accepting new patients |
| Marin Gastroenterology | Single Specialty | Past | Accepting new patients |
Locations
2905 Telegraph Ave
Berkeley, CA 94705
Phone (510) 841-0411
1420 E Palomar St
Chula Vista, CA 91913
7638 N Ingram Ave
#111A
Fresno, CA 93711
3415 S Sepulveda Blvd
Ste 1100
Los Angeles, CA 90034
Phone (424) 348-4558
1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904
520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266
2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271
3550 Churn Creek Rd
Redding, CA 96002
Phone (530) 222-3630
5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663
28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051
127 Hospital Dr
Ste 204
Vallejo, CA 94589
Phone (707) 642-7510
Interoperability endpoints
- https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jessica.ruano.1@6134.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Nephrology Physician
- Vallejo, CA
- NPI 1184719809
Single Specialty
-
- Nephrology Physician
- Berkeley, CA
- NPI 1871699074
Single Specialty
-
- Clinical Pathology/Laboratory Medicine Physician
- Corte Madera, CA
- NPI 1730125758
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1568106995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052017",
"telephone_number": "510-841-4525",
"fax_number": "510-848-9970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052017",
"telephone_number": "510-841-4525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUANO",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-22",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95017725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.