Individual provider Active NPI

Bianca Ruvalcaba, IMFT #99525

  • Marriage & Family Therapist
  • Lompoc, CA
National Provider Identifier
1912426701
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
122544 Issued in CA
Practice address
101 S B St
Lompoc, CA 93436-6933
Phone
(805) 735-4376
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 99525 CA
Marriage & Family Therapist 106H00000X 122544 CA Primary

Addresses

Primary practice location

101 S B St
Lompoc, CA 93436-6933

Mailing address

101 S B St
Lompoc, CA 93436-6933
Phone (805) 735-4376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250714002918 CA Practitioner - Marriage and Family Therapist 4486169943 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99525CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency of Santa Barbara County CurrentSince Jun 30, 2025 Accepting new patients

Locations

101 S B St
Lompoc, CA 93436
Phone (805) 735-4376

123 W Gutierrez St
Santa Barbara, CA 93101
Phone (805) 965-1001

Organizations & group practices 1

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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1912426701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S B ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366933",
            "telephone_number": "805-735-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S B ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366933",
            "telephone_number": "805-735-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUVALCABA",
        "first_name": "BIANCA",
        "credential": "IMFT #99525",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99525",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

Verify at the official NPI Registry.