Ruel Rey O Alavanza, RN, RT

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

793979 Issued in CA

Practice address

11606 Anderson St
Loma Linda, CA 92354-3457

Phone

(909) 536-9169

NPI assigned

Apr 25, 2020

Last updated

Apr 25, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587772800000",
    "number": "1740800127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 S MT VIEW AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083132",
            "telephone_number": "909-536-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11606 ANDERSON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543457",
            "telephone_number": "909-536-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAVANZA",
        "first_name": "RUEL REY",
        "middle_name": "O",
        "credential": "RN, RT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-25",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "793979",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "793979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdalhamid Al Harash, M.D., FACP
• Soz Al-Absi, DO
• Farris Al-Manaseer, MD
• Aryn Alanizi
• Simon Peter Alarcon, MD
• Emily Anne Alberda, DO
• Olivia Soleil Albiar, PHARMD
• Daniel Alda Jr., EXEMPTFROMLICENSURE
• Gabriela Aldaco
• Waleed Monzer Aldadah, DO

• Home Health Registered Nurse in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2020; 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.