Active NPI
Yesica G Ruelas, CMT
- Massage Therapist
- Norwalk, CA
National Provider Identifier
1760057939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 82191
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 82191 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Castro Chiropractic | Single Specialty | Current | 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.