Jason Ruiz, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

12659961-1206 Issued in UT

Practice address

336 W 100 S
Spanish Fork, UT 84660-5881

Phone

(801) 798-7301

Fax

(801) 798-8513

NPI assigned

Sep 26, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, WA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canyon View Medical Group LLCGroup PAC ID 9739084351, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.ruizpa.p1@direct.canyonviewmed.nextgenshare.com

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

• Canyon View Medical Group LLC

  • Obstetrics & Gynecology Physician
  • Payson, UT
  • NPI 1477709772

  UT

  Medicare reassignment Care Compare group
• Providence Health & Services- Washington

  • General Practice Physician
  • Everett, WA
  • NPI 1124270715

  WA

  Medicare reassignment NPD
• Canyon View Medical Group LLC

  • Family Medicine Physician
  • Salem, UT
  • NPI 1225739857

  Family Medicine

  NPD
• Providence Health & Services - Washington

  • Family Medicine Physician
  • Mukilteo, WA
  • NPI 1124279237

  Family Medicine

  NPD
• Canyon View Medical Group LLC

  • Family Medicine Physician
  • Spanish Fork, UT
  • NPI 1538194477

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1740904507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 SANDTRAP LN",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 W 100 S",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846605881",
            "telephone_number": "801-798-7301",
            "fax_number": "801-798-8513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1367 Sandtrap Ln",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "UT",
            "postal_code": "840252918",
            "country_code": "US",
            "telephone_number": "801-678-7228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "12659961-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Eye Team Inc
• Brook David Rogers, PA-C
• Christina Romney, LMFT-I
• James J Rose Jr., M.D.
• Talie Roundy
• Lynnda N Sanchez, LMT
• Ella Sant
• Samantha M Schoppe
• Jacqueline Ann Schwartz, SLP
• Christopher James Scott, CMHC ,TRS, CTRS

• All providers in Spanish Fork, UT
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.