Individual provider Active NPI

Rakiya Lisette Ruiz, LCSW

  • Clinical Social Worker
  • Torrance, CA
National Provider Identifier
1972147726
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW109820 Issued in CA
Practice address
20800 Madrona Ave Ste C100
Torrance, CA 90503-4915
Phone
(213) 642-4611
NPI assigned
Nov 5, 2019
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW109820 CA Primary

Addresses

Primary practice location

20800 Madrona Ave Ste C100
Torrance, CA 90503-4915

Mailing address

5701 Truxtun Ave Ste 220
Bakersfield, CA 93309-0402
Phone (808) 987-7404

Other practice location 1

20800 Madrona Ave Ste C100
Torrance, CA 90503-4915
Phone (213) 642-4611

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
I20260512003838 CA Practitioner - Clinical Social Worker 1456820125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW109820CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Indigo Practice Therapy Licensed Clinical Social Worker Inc Clinical Current Accepting new patients
The Steven a. Cohen Military Family Clinic at VVSD, Los Angeles Past Accepting new patients

Locations

5701 Truxtun Ave
Ste 220
Bakersfield, CA 93309
Phone (661) 322-4777

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1972147726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 TRUXTUN AVE STE 220",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090402",
            "telephone_number": "808-987-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20800 MADRONA AVE STE C100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034915",
            "telephone_number": "213-642-4611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20800 Madrona Ave Ste C100",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905034915",
            "country_code": "US",
            "telephone_number": "213-642-4611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "RAKIYA",
        "middle_name": "LISETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW109820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.