Active NPI
Chase Ruiz
- Physical Therapist
- Westlake Village, CA
National Provider Identifier
1922693944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 292311
- Practice address
- 31248 Oak Crest Dr Ste 120
Westlake Village, CA 91361-5673 - Phone
- (818) 538-5880
- Fax
- (818) 616-6676
- NPI assigned
- Mar 2, 2021
- Last updated
- Mar 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 292311 | CA | Primary |
Addresses
Primary practice location
31248 Oak Crest Dr Ste 120
Westlake Village, CA 91361-5673
Mailing address
355 S Via la Canada Unit 19
Orange, CA 92869-4914
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 |
|---|---|---|---|
| 292311 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1922693944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 S VIA LA CANADA UNIT 19",
"city": "ORANGE",
"state": "CA",
"postal_code": "928694914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31248 OAK CREST DR STE 120",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913615673",
"telephone_number": "818-538-5880",
"fax_number": "818-616-6676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "CHASE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-02",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "292311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.