Organization Active NPI

Amanda Ruiz, M.D., Inc.

  • Psychiatry Physician
  • West Hollywood, CA
National Provider Identifier
1700937778
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A67430 Issued in CA
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 Directory

Locations

8700 Beverly Blvd
Ste E123D
West Hollywood, CA 90048
Phone (858) 344-8016

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X A67430 CA Primary
Adult Mental Health Clinic/Center 261QM0850X A67430 CA

Addresses

NPPES NPI Registry

Primary 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. Other name

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.

Verify at the official NPI Registry.