Active NPI
Israel Enrique Ruiz Lora, SOCIAL WORKER
- Social Worker
- San Jose, CA
National Provider Identifier
1871016147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1075 East Santa Clara
San Jose, CA 95116 - Phone
- (408) 792-2140
- NPI assigned
- Jul 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1075 East Santa Clara
San Jose, CA 95116
Mailing address
1075 E Santa Clara St
San Jose, CA 95116-2244
Phone (408) 792-2140
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104664 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1871016147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 E SANTA CLARA ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951162244",
"telephone_number": "408-792-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 EAST SANTA CLARA",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95116",
"telephone_number": "408-792-2140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ LORA",
"first_name": "ISRAEL",
"middle_name": "ENRIQUE",
"credential": "SOCIAL WORKER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.