Active NPI
Amanda Ruiz, M.D., Inc.
- Psychiatry Physician
- West Hollywood, CA
National Provider Identifier
1700937778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A67430
- Legal business name
- AMANDA RUIZ, M.D., INC.
- Practice address
- 8700 Beverly Blvd
Thalians, Suite E123-D
West Hollywood, CA 90048-1804 - Phone
- (858) 344-8016
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Amanda Ruiz Graves, M.D.
- Title
- Ceo
- Phone
- (858) 344-8016
National Provider Directory
National Provider DirectoryLocations
8700 Beverly Blvd
Ste E123D
West Hollywood, CA 90048
Phone (858) 344-8016
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | |||
| Psychiatry Physician | 2084P0800X | A67430 | CA | Primary |
| Adult Mental Health Clinic/Center | 261QM0850X | A67430 | CA |
Addresses
NPPES NPI RegistryPrimary practice location
8700 Beverly Blvd
Thalians, Suite E123-D
West Hollywood, CA 90048-1804
Mailing address
P.O. Box 1309
Studio City, CA 92138-7972
Phone (858) 344-8016
Other names 1
NPPES NPI Registry- Amanda Ruiz Graves, M.D.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 18, 2012.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347926400000",
"number": "1700937778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1309",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "921387972",
"telephone_number": "858-344-8016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 BEVERLY BLVD",
"address_2": "THALIANS, SUITE E123-D",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900481804",
"telephone_number": "858-344-8016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMANDA RUIZ, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2012-09-18",
"status": "A",
"authorized_official_last_name": "RUIZ GRAVES",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "858-344-8016",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A67430",
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "CA",
"license": "A67430",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Amanda Ruiz Graves, M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.