Active NPI
Ruby Carlos, MASTER OF SCIENCE
- Marriage & Family Therapist
- Perris, CA
National Provider Identifier
1750786109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 555 N Perris Blvd BLDG a
Perris, CA 92571-2811 - Phone
- (951) 436-5385
- NPI assigned
- Oct 28, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
555 N Perris Blvd BLDG a
Perris, CA 92571-2811
Mailing address
555 N Perris Blvd BLDG a
Perris, CA 92571-2811
Phone (951) 436-5385
Other practice location 1
1105 E Florida Ave
Hemet, CA 92543-4512
Phone (951) 439-2939 ext. 2697
Other practice location 2
5870 Arlington Ave
Riverside, CA 92504-2037
Phone (951) 683-6596
Other practice location 3
27261 Las Ramblas Ste 220
Mission Viejo, CA 92691-6468
Phone (562) 234-8679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726963200000",
"number": "1750786109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N PERRIS BLVD BLDG A",
"city": "PERRIS",
"state": "CA",
"postal_code": "925712811",
"telephone_number": "951-436-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N PERRIS BLVD BLDG A",
"city": "PERRIS",
"state": "CA",
"postal_code": "925712811",
"telephone_number": "951-436-5385"
}
],
"practiceLocations": [
{
"address_1": "1105 E Florida Ave",
"address_purpose": "LOCATION",
"city": "Hemet",
"state": "CA",
"postal_code": "925434512",
"country_code": "US",
"telephone_number": "951-439-2939 x2697",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5870 Arlington Ave",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925042037",
"country_code": "US",
"telephone_number": "951-683-6596",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27261 Las Ramblas Ste 220",
"address_purpose": "LOCATION",
"city": "Mission Viejo",
"state": "CA",
"postal_code": "926916468",
"country_code": "US",
"telephone_number": "562-234-8679",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLOS",
"first_name": "RUBY",
"credential": "MASTER OF SCIENCE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-28",
"last_updated": "2024-09-22",
"certification_date": "2024-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.