Individual provider Active NPI

Jessey Tyler Rufin

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1972326700
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
101112 Issued in CA
Practice address
6800 Indiana Ave Ste 140
Riverside, CA 92506-4266
Phone
(951) 291-8770
Fax
(951) 291-8797
NPI assigned
Oct 31, 2024
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Marriage & Family Therapist 106H00000X 101112 CA Primary

Addresses

Primary practice location

6800 Indiana Ave Ste 140
Riverside, CA 92506-4266

Mailing address

6800 Indiana Ave Ste 140
Riverside, CA 92506-4266
Phone (951) 291-8770

Other practice location 1

255 E Rincon St
Corona, CA 92879-1367
Phone (951) 817-5328

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

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1972326700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 INDIANA AVE STE 140",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064266",
            "telephone_number": "951-291-8770",
            "fax_number": "951-291-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 INDIANA AVE STE 140",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064266",
            "telephone_number": "951-291-8770",
            "fax_number": "951-291-8797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 E Rincon St",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928791367",
            "country_code": "US",
            "telephone_number": "951-817-5328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUFIN",
        "first_name": "JESSEY",
        "middle_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-31",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.