Individual provider Active NPI

Jessica Ruiz Cuen, N.P.

  • Family Nurse Practitioner
  • El Centro, CA
National Provider Identifier
1801267083
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003279 Issued in CA
Practice address
1600 South Imperial Avenue
Suite 3
El Centro, CA 92243-4242
Phone
(760) 339-2802
Fax
(760) 355-9520
NPI assigned
Oct 13, 2015
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95003279 CA Primary

Addresses

Primary practice location

1600 South Imperial Avenue
Suite 3
El Centro, CA 92243-4242

Mailing address

815 Westwind Drive
El Centro, CA 92243-4363
Phone (760) 554-1503

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160805000177 CA Practitioner - Nurse Practitioner 2264726827 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95003279CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Valley Family Care Medical Group Apc CurrentSince Nov 1, 2017 Accepting new patients
Imperial Valley Family Care Medical Group, Apc CurrentSince Nov 1, 2017 Accepting new patients

Locations

125 S 5th St
Brawley, CA 92227
Phone (760) 344-8100

1600 S Imperial Ave
Ste 3
El Centro, CA 92243
Phone (760) 335-3545

516 W Aten Rd
Ste 2
Imperial, CA 92251
Phone (760) 355-7730

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.

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1801267083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 WESTWIND DRIVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434363",
            "telephone_number": "760-554-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SOUTH IMPERIAL AVENUE",
            "address_2": "SUITE 3",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434242",
            "telephone_number": "760-339-2802",
            "fax_number": "760-355-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEN",
        "first_name": "JESSICA",
        "middle_name": "RUIZ",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.