Jasson Emmanuel Ruiz

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-DLJIEZ Issued in CA

Practice address

2055 N Perris Blvd Ste C
Perris, CA 92571-2509

Phone

(519) 715-5050

Fax

(951) 715-5050

NPI assigned

Apr 2, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1598569105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28806 MALTBY AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925556919",
            "telephone_number": "213-374-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N PERRIS BLVD STE C",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712509",
            "telephone_number": "519-715-5050",
            "fax_number": "951-715-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "JASSON",
        "middle_name": "EMMANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-02",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-DLJIEZ",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roswitha Breuer MD (La Paz Family Medical Clinic)
• Allyza Rae Beltran Roxas
• Maria Violetta Ruelas
• Leslie Jacqueline Ruiz Munoz
• Octavio Ruiz-Villalpando, MD
• Marisabel Ruiz
• Mazie Ruiz
• La Shawn Nichole Russell
• Ruth Chambi Hernandez (Three Angels Family Medical Clinic)
• Christina Ruvalcaba, RD

• Peer Specialist in Perris, CA
• Providers in Perris, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.