Active NPI
Desiree Ruiz, RN
- Psychiatric/Mental Health Nurse Practitioner
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2023127063
- Practice address
- 7067 N Mariposa St Ste 103
Fresno, CA 93720-2988 - Phone
- (559) 380-4304
- NPI assigned
- Sep 9, 2021
- Last updated
- Jan 31, 2025
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 720177 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2023127063 | CA | Primary |
Addresses
Primary practice location
7067 N Mariposa St Ste 103
Fresno, CA 93720-2988
Mailing address
7067 N Mariposa St Ste 103
Fresno, CA 93720-2988
Phone (559) 380-4304
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | desireer@ccbh-ag.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
536 Camino Mercado
Arroyo Grande, CA 93420-1814
Phone (805) 540-0279
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 720177 | CA | MD | Registered Nurse |
| 2023127063 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Desert Psychiatry Inc | Current | Accepting new patients | |
| Central Coast Behavioral Health, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
536 Camino Mercado
Arroyo Grande, CA 93420
Phone (346) 502-3707
353 E Park Ave
El Cajon, CA 92020
Phone (323) 893-5844
7067 N Mariposa St
Ste 103
Fresno, CA 93720
Phone (559) 380-4304
74075 El Paseo
Ste A16
Palm Desert, CA 92260
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Arroyo Grande, CA
- NPI 1699112698
Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Palm Desert, CA
- NPI 1487277257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1760151013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7067 N MARIPOSA ST STE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202988",
"telephone_number": "559-380-4304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7067 N MARIPOSA ST STE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202988",
"telephone_number": "559-380-4304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "DESIREE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-09",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "720177",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "2023127063",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "desireer@ccbh-ag.com",
"affiliation": "N",
"endpointDescription": "work",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7067 N Mariposa St Ste 103",
"city": "Fresno",
"state": "CA",
"country_code": "US",
"postal_code": "937202988",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.