Individual provider Active NPI

Griseida Ruiz, RD

  • Registered Dietitian
  • El Monte, CA
National Provider Identifier
1962051409
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86011945 Issued in CA
Practice address
11026 Valley Mall
El Monte, CA 91731-2617
Phone
(323) 401-2533
NPI assigned
Sep 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86011945 CA Primary

Addresses

Primary practice location

11026 Valley Mall
El Monte, CA 91731-2617

Mailing address

718 N Ardmore Ave
Los Angeles, CA 90029-3312
Phone (323) 401-2533

Other practice location 1

6347 Pacific Blvd
Huntington Park, CA 90255-4101
Phone (323) 401-2533

Other practice location 2

6511 Van Nuys Blvd
Van Nuys, CA 91401-1425
Phone (323) 401-2533

Other practice location 3

2208 W 7th St
Los Angeles, CA 90057-4002
Phone (323) 401-2533

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
86011945CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1962051409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N ARDMORE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293312",
            "telephone_number": "323-401-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11026 VALLEY MALL",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312617",
            "telephone_number": "323-401-2533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6347 Pacific Blvd",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902554101",
            "country_code": "US",
            "telephone_number": "323-401-2533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6511 Van Nuys Blvd",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914011425",
            "country_code": "US",
            "telephone_number": "323-401-2533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2208 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900574002",
            "country_code": "US",
            "telephone_number": "323-401-2533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "GRISEIDA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-07",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86011945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.