Active NPI
Ruben Prince
- Community Health Worker
- San Francisco, CA
National Provider Identifier
1982122651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 2157 Grove St
San Francisco, CA 94117-1008 - Phone
- (415) 387-2275
- NPI assigned
- Sep 1, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
2157 Grove St
San Francisco, CA 94117-1008
Mailing address
1900 Ascot Pkwy Apt 1625
Vallejo, CA 94591-8339
Other practice location 1
1900 Ascot Pkwy Apt 1625
Vallejo, CA 94591-8339
Phone (908) 416-5093
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker Places, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1790822997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1982122651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 ASCOT PKWY APT 1625",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945918339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2157 GROVE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941171008",
"telephone_number": "415-387-2275"
}
],
"practiceLocations": [
{
"address_1": "1900 Ascot Pkwy Apt 1625",
"address_purpose": "LOCATION",
"city": "Vallejo",
"state": "CA",
"postal_code": "945918339",
"country_code": "US",
"telephone_number": "908-416-5093",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRINCE",
"first_name": "RUBEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.