Jessica Ruiz Ornelas

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

107990 Issued in CA

Practice address

709 W Beverly Blvd Ste 201
Montebello, CA 90640-3600

Phone

(323) 622-6227

NPI assigned

Jan 5, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1972217800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N MONTE VISTA ST",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313724",
            "telephone_number": "562-501-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W BEVERLY BLVD STE 201",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403600",
            "telephone_number": "323-622-6227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1857 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917642601",
            "country_code": "US",
            "telephone_number": "909-640-3767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 N Main St Unit 1010",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927056608",
            "country_code": "US",
            "telephone_number": "714-862-1210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ ORNELAS",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel M Roubin, PSYD
• Alyssa Elizabeth Rubal
• Ruben V. Gonzalez DDS Inc
• Doris Rubio
• Alba Marina Ruelas
• Ferrin Katarina Ruiz, MD
• Michelle Elizabeth Ruiz
• Ravin Manu Rupani, M.D.
• Richard Rustanto, MSN, RN
• S. Ghazarian DDS., Inc.

• General Practice Dentistry in Montebello, CA
• Providers in Montebello, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.