Individual provider Active NPI

Yesica G Ruelas, CMT

  • Massage Therapist
  • Norwalk, CA
National Provider Identifier
1760057939
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
82191 Issued in CA
Practice address
11550 Rosecrans Ave Ste 106
Norwalk, CA 90650-3881
Phone
(562) 474-1314
Fax
(562) 735-0205
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 82191 CA Primary

Addresses

Primary practice location

11550 Rosecrans Ave Ste 106
Norwalk, CA 90650-3881

Mailing address

11550 Rosecrans Ave Ste 106
Norwalk, CA 90650-3881
Phone (562) 293-3336

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

State licenses

LicenseStateTypeSpecialty
82191CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Castro Chiropractic Single Specialty CurrentSince Mar 19, 2023 Accepting new patients

Locations

11550 Rosecrans Ave
Ste 106
Norwalk, CA 90650
Phone (562) 474-1314

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1760057939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 ROSECRANS AVE STE 106",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503881",
            "telephone_number": "562-293-3336",
            "fax_number": "562-735-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 ROSECRANS AVE STE 106",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503881",
            "telephone_number": "562-474-1314",
            "fax_number": "562-735-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUELAS",
        "first_name": "YESICA",
        "middle_name": "G",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "82191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.