Boston Ruiz

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

BOSTON RUIZ

Doing business as

Boston Ruiz

Practice address

719 E Pepper PL
Mesa, AZ 85203-8747

Phone

(480) 798-6459

NPI assigned

Dec 11, 2023

Last updated

Dec 11, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

SNEAKAHEADZ LLCAs reported in NPPES

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

Authorized official

Name

Boston Ruiz, CPE, CCHW

Title

Owner

Phone

(480) 898-6459

Specialties & licenses 12

Addresses

Other names 1

• Boston Ruiz Doing business as

Part of

Sneakaheadz LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sneakaheadz LLC

  • Peer Specialist
  • Tolleson, AZ
  • NPI 1073294427
  NPPES parent name

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1699542506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 E PEPPER PL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038747",
            "telephone_number": "480-798-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 E PEPPER PL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038747",
            "telephone_number": "480-798-6459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8252 S 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850417806",
            "country_code": "US",
            "telephone_number": "480-798-6459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOSTON RUIZ",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNEAKAHEADZ LLC",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "BOSTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-898-6459",
        "authorized_official_credential": "CPE, CCHW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Ruiz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Boschee
• Esad Boskailo, MD
• Chandler Bosley
• Morgan Boss, M.S.
• Brittany Joy Bosshardt
• Kyle Scott Bothwell
• Veronica Boudreau
• Soraya Boumediene, MD, MPH
• Kirk George Bowden, DO
• Kirk George Bowden

• Community Health Worker in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community Health Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.