Active NPI
Virginia Ruiz de Lopez
- Mental Health Counselor
- San Jose, CA
National Provider Identifier
1952714024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 63677
- Practice address
- 160 E Virginia St
Suite 100
San Jose, CA 95112-5857 - Phone
- (408) 918-2618
- NPI assigned
- Jun 6, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 63677 | CA | Primary |
Addresses
Primary practice location
160 E Virginia St
Suite 100
San Jose, CA 95112-5857
Mailing address
160 E Virginia St
Suite 100
San Jose, CA 95112-5857
Phone (408) 918-2618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63677 | Other | CA | ASW |
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 |
|---|---|---|---|
| 63677 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1952714024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E VIRGINIA ST",
"address_2": "SUITE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951125857",
"telephone_number": "408-918-2618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E VIRGINIA ST",
"address_2": "SUITE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951125857",
"telephone_number": "408-918-2618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ DE LOPEZ",
"first_name": "VIRGINIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-06",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "63677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASW",
"identifier": "63677",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.