Angelica Viviana Ruvalcaba

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2180 Johnson Ave
San Luis Obispo, CA 93401-4558

Phone

(805) 781-4753

Fax

(805) 781-1227

NPI assigned

Jul 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Viv Ruvalcaba Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1831928142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 CAT LN",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934541581",
            "telephone_number": "805-868-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 JOHNSON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014558",
            "telephone_number": "805-781-4753",
            "fax_number": "805-781-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUVALCABA",
        "first_name": "ANGELICA",
        "middle_name": "VIVIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIV",
            "last_name": "RUVALCABA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Russell
• Traci Ruth
• Shermin Yaghoubi Rutherford, P.A.
• Jennifer Victoria Rutledge
• Shawn Rutledge, PSY.D.
• Angela Marie Ryals, MA,PPS-SC
• Ryan McCall, DDS, Inc.
• Ryan Ross DDS
• Amanda Ryan
• Colleen Daun Ryan

• Addiction (Substance Use Disorder) Counselor in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.