Individual provider Active NPI

Ruby Olacio, LMFT/PPS

  • Marriage & Family Therapist
  • San Dimas, CA
National Provider Identifier
1689578205
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
164883 Issued in CA
Practice address
115 W Allen Ave
San Dimas, CA 91773-1437
Phone
(909) 971-8200
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 164883 CA Primary

Addresses

Primary practice location

115 W Allen Ave
San Dimas, CA 91773-1437

Mailing address

1629 Holly Oak St
La Verne, CA 91750-3914
Phone (909) 971-8207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1689578205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 HOLLY OAK ST",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503914",
            "telephone_number": "909-971-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W ALLEN AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731437",
            "telephone_number": "909-971-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLACIO",
        "first_name": "RUBY",
        "credential": "LMFT/PPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "164883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.