Active NPI
Martha Ofelia Ruiz Zepeda, M.S., BCBA
- Behavior Analyst
- Ontario, CA
National Provider Identifier
1609354125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-61389
- Practice address
- 4688 Ontario Mills Pkwy
Ontario, CA 91764-5104 - Phone
- (714) 834-1111
- NPI assigned
- Aug 6, 2018
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-22-61389 | CA | Primary |
Addresses
Primary practice location
4688 Ontario Mills Pkwy
Ontario, CA 91764-5104
Mailing address
4688 Ontario Mills Pkwy
Ontario, CA 91764-5104
Phone (714) 834-1111
Other names 1
- Martha Ruiz
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1609354125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4688 ONTARIO MILLS PKWY",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917645104",
"telephone_number": "714-834-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4688 ONTARIO MILLS PKWY",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917645104",
"telephone_number": "714-834-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ ZEPEDA",
"first_name": "MARTHA",
"middle_name": "OFELIA",
"credential": "M.S., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-22-61389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARTHA",
"last_name": "RUIZ",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.