Active NPI
Kyle Cameron Ruiz, NP
- Acute Care Nurse Practitioner
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95024153
- Practice address
- 1477 S Manchester Ave
Anaheim, CA 92802-2905 - Phone
- (619) 247-5992
- NPI assigned
- Feb 6, 2023
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95024153 | CA | Primary |
Addresses
Primary practice location
1477 S Manchester Ave
Anaheim, CA 92802-2905
Mailing address
1477 S Manchester Ave
Anaheim, CA 92802-2905
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1819 Washington Ave
Apt a
Santa Monica, CA 90403-3324
Phone (310) 382-0233
2400 E 4TH St
National City, CA 91950-2026
Phone (619) 472-4690
555 Washington St
San Diego, CA 92103-2289
Phone (858) 531-7713
Hospital & facility affiliations
- UC San Diego Health Hillcrest - Hillcrest Med Ctr
- Scripps Mercy Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95024153 | CA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gandhi & Gandhi Medical Corporation | Current | Accepting new patients | |
| Pouya Afshar MD Inc | Current | Accepting new patients | |
| Ellyn Levine, MD, Inc. | Current | Accepting new patients | |
| P H Patel MD Inc | Current | Accepting new patients | |
| Samir B Damani MD Inc | Current | Accepting new patients | |
| SD Premier Cardiac Center Inc | Past | Accepting new patients | |
| Samir B. Damani MD Inc | Past | Accepting new patients |
Locations
9850 Genesee Ave
Ste 650
La Jolla, CA 92037
Phone (858) 223-2100
2400 E 4th St
National City, CA 91950
Phone (619) 470-4141
655 Euclid Ave
Ste 401
National City, CA 91950
Phone (619) 267-8303
655 Euclid Ave
Ste 301
National City, CA 91950
Phone (619) 267-3020
555 Washington St
San Diego, CA 92103
Phone (619) 260-8300
3111 Camino del Rio N
Ste 625
San Diego, CA 92108
Phone (619) 738-5566
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1275719544
-
- Cardiovascular Disease Physician
- National City, CA
- NPI 1447505581
-
- Specialist
- San Diego, CA
- NPI 1710336094
-
- Cardiovascular Disease Physician
- La Jolla, CA
- NPI 1386113348
-
- Health Service Clinic/Center
- La Mesa, CA
- NPI 1386072163
-
- Cardiovascular Disease Physician
- La Jolla, CA
- NPI 1922371228
-
- Internal Medicine Physician
- National City, CA
- NPI 1154004497
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1962108332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1477 S MANCHESTER AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928022905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1477 S MANCHESTER AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928022905",
"telephone_number": "619-247-5992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "KYLE",
"middle_name": "CAMERON",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95024153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.