Active NPI
Dolores Ruiz
- Local Education Agency (LEA)
- Whittier, CA
National Provider Identifier
1891112595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- License
- 1111051-E-02-71/2790
- Practice address
- 9401 Painter Ave
Whittier, CA 90605-2729 - Phone
- (562) 698-9436
- NPI assigned
- Mar 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | 1111051-E-02-71/2790 | ZZ | Primary |
| Community/Behavioral Health Agency | 251S00000X | 11110712.51-E02-71/2 | ZZ |
Addresses
Primary practice location
9401 Painter Ave
Whittier, CA 90605-2729
Mailing address
13135 Barton Rd
Whittier, CA 90605-2757
Phone (562) 903-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11110712.51-E02-71/2 | ZZ | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395273600000",
"number": "1891112595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13135 BARTON RD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906052757",
"telephone_number": "562-903-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 PAINTER AVE",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906052729",
"telephone_number": "562-698-9436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "DOLORES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-20",
"last_updated": "2014-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "ZZ",
"license": "1111051-E-02-71/2790",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "ZZ",
"license": "11110712.51-E02-71/2",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.