Individual provider Active NPI

Jordanne Ruiz, NP

  • Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1902361785
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95010811 Issued in CA
Practice address
6833 Indiana Ave Ste 101
Riverside, CA 92506-4223
Phone
(657) 346-6319
Fax
(951) 269-4184
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95010811 CA Primary

Addresses

Primary practice location

6833 Indiana Ave Ste 101
Riverside, CA 92506-4223

Mailing address

871 Viewpointe LN
Corona, CA 92881-3964
Phone (785) 826-7719

Other practice location 1

28062 Baxter Rd
Murrieta, CA 92563-1401
Phone (951) 290-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190430001752 CA Practitioner - Nurse Practitioner 7719229350 Reassigns benefits to 5 organizations
I20240522000813 WI Practitioner - Nurse Practitioner 7719229350 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95010811CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Matters Nursing Corp CurrentSince Apr 16, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Huntington Specialist & Nursing Corporation CurrentSince Jan 12, 2023 Accepting new patients
Nebula Health, LLC CurrentSince Jan 16, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Apr 1, 2019 Accepting new patients
SBH-Madison LLC CurrentSince Apr 28, 2024 Accepting new patients
BL Anderson Medical Corporation CurrentSince Feb 11, 2024 Accepting new patients
Kayal Medical Group Inc. CurrentSince Sep 28, 2024 Accepting new patients
Nebula Health, P. C. PastSince Nov 12, 2023 Accepting new patients

Locations

5353 G St
Chino, CA 91710
Phone (626) 335-1919

11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940

517 S Myrtle Ave
Ste 101
Monrovia, CA 91016
Phone (626) 358-0322

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

5900 Brockton Ave
Riverside, CA 92506
Phone (800) 992-0901

6833 Indiana Ave
Ste 101
Riverside, CA 92506
Phone (657) 346-6319

4619 Rosemead Blvd
Rosemead, CA 91770
Phone (626) 286-1191

806 Avenida Pico
#I330
San Clemente, CA 92673

10890 Thornmint Rd
Ste 202
San Diego, CA 92127
Phone (855) 745-8400

960 W San Marcos Blvd
Ste 210
San Marcos, CA 92078
Phone (760) 707-6765

11937 W 119th St
Overland Park, KS 66213
Phone (816) 681-4494

3169 Deming Way
Middleton, WI 53562
Phone (608) 716-8286

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13982/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jfruits253799@direct.llu.edu

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1902361785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 VIEWPOINTE LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813964",
            "telephone_number": "785-826-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 INDIANA AVE STE 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064223",
            "telephone_number": "657-346-6319",
            "fax_number": "951-269-4184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28062 Baxter Rd",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925631401",
            "country_code": "US",
            "telephone_number": "951-290-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "JORDANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.