Individual provider Active NPI

Alicia Renae Ruelaz Maher, M.D.

  • Psychiatry Physician
  • Santa Monica, CA
National Provider Identifier
1821072174
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
102684 Issued in GA
Practice address
530 Wilshire Blvd Ste 306
Santa Monica, CA 90401-1426
Phone
(310) 692-9517
Fax
(310) 692-9517
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 102684 GA Primary

Addresses

Primary practice location

530 Wilshire Blvd Ste 306
Santa Monica, CA 90401-1426

Mailing address

530 Wilshire Blvd Ste 306
Santa Monica, CA 90401-1426
Phone (310) 692-9517

Other names 1

  • Dr. Alicia Ruelaz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 20, 2015 through Jul 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
102684GAMDPsychiatry Physician
77692CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1821072174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 WILSHIRE BLVD STE 306",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011426",
            "telephone_number": "310-692-9517",
            "fax_number": "424-298-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 WILSHIRE BLVD STE 306",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011426",
            "telephone_number": "310-692-9517",
            "fax_number": "310-692-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUELAZ MAHER",
        "first_name": "ALICIA",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "102684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "RUELAZ",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.