Individual provider Active NPI

Mona Lisa Ruiz, FNP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1720744162
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018466 Issued in CA
Practice address
1809 National Ave
San Diego, CA 92113-2113
Phone
(619) 515-2300
NPI assigned
Nov 10, 2021
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95018466 CA Primary

Addresses

Primary practice location

1809 National Ave
San Diego, CA 92113-2113

Mailing address

823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 515-2300

Other names 1

  • Monalisa Ruiz Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230306002680 CA Practitioner - Nurse Practitioner 4981077385 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Onclick Healthcare IncorporatedGroup PAC ID 9830511260, 63 clinicians

Practice addresses (Care Compare)

1415 Ross Ave
El Centro, CA 92243-4306
Phone (858) 759-4765

1809 National Ave
San Diego, CA 92113-2113
Phone (619) 515-2300

2401 Damian St
Imperial, CA 92251-8885
Phone (818) 272-8260

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95018466CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy MD Medical Group Inc CurrentSince Dec 20, 2024 Accepting new patients
Clinicas de Salud del Pueblo, Inc Current Accepting new patients
Onclick Healthcare Incorporated CurrentSince Dec 3, 2025 Accepting new patients
Omar Osman MD PC CurrentSince Feb 24, 2024 Accepting new patients
Regents of the University of California CurrentSince Aug 1, 2024 Accepting new patients
Imperial Manor Skilled Nursing Inc CurrentSince Jan 15, 2025 Accepting new patients
Clinicas de Salud del Pueblo Inc. CurrentSince Jan 23, 2023 Accepting new patients
Clinicas de Salud del Pueblo, Inc CurrentSince Jan 23, 2023 Accepting new patients
Legacy MD Medical Group Inc PastSince May 28, 2024 Accepting new patients
Easyaccess Medical Group, Inc Past Accepting new patients
El Centro Regional Medical Center Past Accepting new patients

Locations

290 Main St
Brawley, CA 92227
Phone (760) 550-1510

4766 Park Granada
Ste 206B
Calabasas, CA 91302
Phone (818) 272-8260

222 E Cole Blvd
Calexico, CA 92231
Phone (760) 550-1685

222 E Cole Blvd
Ste C
Calexico, CA 92231
Phone (760) 550-1685

223 W Cole Blvd
Calexico, CA 92231
Phone (760) 357-2020

690 Otay Lakes Rd
Ste 120
Chula Vista, CA 91910
Phone (619) 397-7800

690 Otay Lakes Rd
Ste 125
Chula Vista, CA 91910

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

1699 N Imperial Ave
El Centro, CA 92243
Phone (442) 283-3494

1700 S Imperial Ave
El Centro, CA 92243
Phone (760) 352-8471

852 E Danenberg Dr
El Centro, CA 92243
Phone (760) 352-2257

81812 Doctor Carreon Blvd
Ste E
Indio, CA 92201
Phone (442) 236-1498

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5720

5602 University Ave
San Diego, CA 92105
Phone (619) 583-1993

2625 Townsgate Rd
Ste 330
Westlake Vlg, CA 91361
Phone 8182302116102

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

Interoperability endpoints

  • Direct secure messaging: monalisa.ruiz.p1@direct.cdsdp.nextgenshare.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1720744162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 GATEWAY CENTER WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024541",
            "telephone_number": "619-515-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 NATIONAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921132113",
            "telephone_number": "619-515-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "MONA",
        "middle_name": "LISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONALISA",
            "last_name": "RUIZ",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.