Iskra Ruiz

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95202600 Issued in CA

Practice address

1380 S 43Rd St
San Diego, CA 92113-3408

Phone

(619) 298-3655

NPI assigned

Dec 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1669069423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 NAVARRA DR UNIT 201",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920097071",
            "telephone_number": "760-809-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 S 43RD ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921133408",
            "telephone_number": "619-298-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ISKRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95202600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95202600",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cvs.com/international.html",
            "affiliation": "N",
            "endpointDescription": "1380 43rd St., San Diego, CA 92113",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1380 S 43rd St",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921133408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elvira Ruiz
• Ericka Ruiz, RBT
• Esther Maire Ruiz
• Estrella Ruiz
• Ferdinand Ruiz
• Jason O Ruiz
• Jessica Ruiz
• Jethro Daryl Ruiz, CASE MANAGER
• Jonathan Ruiz, MD
• Jose Ruiz, SUD

• Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.