Organization Active NPI

Ruby'S Place

  • Primary Care Clinic/Center
  • Tracy, CA
National Provider Identifier
1790621860
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RUBY'S PLACE
Practice address
370 W Arbor Ave
Tracy, CA 95304-9452
Phone
(916) 878-9458
NPI assigned
Apr 28, 2026
Organization subpart
Yes
Parent organization
RUBY'S PLACEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Sophora Acheson, LMFT
Title
Executive Director
Phone
(510) 519-8083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

370 W Arbor Ave
Tracy, CA 95304-9452

Mailing address

20880 Baker Rd
Castro Valley, CA 94546-5729
Phone (916) 878-9458

National Provider Directory

National Provider Directory
Tax ID family
Ruby'S Place3 organizations share this tax ID, including this one
Part of
Ruby'S Place

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

370 W Arbor Ave
Tracy, CA 95304
Phone (916) 878-9458

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1790621860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20880 BAKER RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465729",
            "telephone_number": "916-878-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W ARBOR AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953049452",
            "telephone_number": "916-878-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY'S PLACE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUBY'S PLACE",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "ACHESON",
        "authorized_official_first_name": "SOPHORA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-519-8083",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.