Active NPI
Christian Ruiz
- Peer Specialist
- Half Moon Bay, CA
National Provider Identifier
1639599392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 225 Cabrillo Hwy S Ste 200a
Half Moon Bay, CA 94019-7210 - Phone
- (650) 573-3724
- NPI assigned
- Apr 21, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Community Health Worker | 172V00000X | CA | ||
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
225 Cabrillo Hwy S Ste 200a
Half Moon Bay, CA 94019-7210
Mailing address
957 Industrial Rd
Suite B
San Carlos, CA 94070-4151
Phone (650) 832-6914
Other practice location 1
957 Industrial Rd
suite B
San Carlos, CA 94070-4151
Phone (650) 832-6914
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1639599392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "957 INDUSTRIAL RD",
"address_2": "SUITE B",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940704151",
"telephone_number": "650-832-6914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CABRILLO HWY S STE 200A",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "940197210",
"telephone_number": "650-573-3724"
}
],
"practiceLocations": [
{
"address_1": "957 Industrial Rd",
"address_2": "suite B",
"address_purpose": "LOCATION",
"city": "San Carlos",
"state": "CA",
"postal_code": "940704151",
"country_code": "US",
"telephone_number": "650-832-6914",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUIZ",
"first_name": "CHRISTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-21",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Half Moon Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.