Individual provider Active NPI

Dino Ruffoni Jr.

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1891172672
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC #48200 Issued in CA
Practice address
100 E St
Suite 303
Santa Rosa, CA 95404-4608
Phone
(707) 535-6895
NPI assigned
Apr 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC #48200 CA Primary

Addresses

Primary practice location

100 E St
Suite 303
Santa Rosa, CA 95404-4608

Mailing address

3530 Sleepy Hollow Dr
Santa Rosa, CA 95404-1529
Phone (707) 535-6895

Other names 1

  • Mr. Bill Ruffoni Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC #48200CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1891172672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 SLEEPY HOLLOW DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041529",
            "telephone_number": "707-535-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E ST",
            "address_2": "SUITE 303",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044608",
            "telephone_number": "707-535-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFONI",
        "first_name": "DINO",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC #48200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "RUFFONI",
            "prefix": "MR.",
            "credential": "MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.