Active NPI
Angelica Mendoza Ruiz, M.D.
- Pediatrics Physician
- San Jose, CA
National Provider Identifier
1720179989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A91832
- Practice address
- 2880 Story Rd
Suite a
San Jose, CA 95127-3942 - Phone
- (408) 929-5439
- Fax
- (408) 929-5010
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A91832 | CA | Primary |
Addresses
Primary practice location
2880 Story Rd
Suite a
San Jose, CA 95127-3942
Mailing address
2880 Story Rd
San Jose, CA 95127-3942
Phone (408) 929-5439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250623000197 | CA | Order and Referring Only - Pediatric Medicine | 1456437169 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- angelica.ruiz@sjffcc.eclinicaldirectplus.com
- aruiz330577@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1720179989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 STORY RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951273942",
"telephone_number": "408-929-5439",
"fax_number": "408-929-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 STORY RD",
"address_2": "SUITE A",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951273942",
"telephone_number": "408-929-5439",
"fax_number": "408-929-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "ANGELICA",
"middle_name": "MENDOZA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2012-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A91832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.