Active NPI
Joy P. Ruiz-Molleston, M.D., PS
- Addiction Medicine (Family Medicine) Physician
- Lakewood, WA
National Provider Identifier
1992839906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- MD00024942
- Legal business name
- JOY P. RUIZ-MOLLESTON, M.D., PS
- Practice address
- 7424 Bridgeport Way W Ste 301
Lakewood, WA 98499-8135 - Phone
- (253) 474-5141
- Fax
- (253) 474-5507
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sonya J Elder
- Title
- Billing Manger
- Phone
- (360) 895-1521
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | MD00024942 | WA | Primary |
Addresses
Primary practice location
7424 Bridgeport Way W Ste 301
Lakewood, WA 98499-8135
Mailing address
5422 80TH Avenue CT W
Tacoma, WA 98467-3974
Phone (253) 565-6576
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1084425 | Medicaid | WA | |
| 0039287 | Other | WA | L&I |
| RU5122 | Other | WA | REGENCE |
National Provider Directory
National Provider DirectoryLocations
3716 Pacific Ave
Ste G
Tacoma, WA 98418
Phone (206) 474-5141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279584000000",
"number": "1992839906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5422 80TH AVENUE CT W",
"city": "TACOMA",
"state": "WA",
"postal_code": "984673974",
"telephone_number": "253-565-6576",
"fax_number": "253-474-5507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7424 BRIDGEPORT WAY W STE 301",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984998135",
"telephone_number": "253-474-5141",
"fax_number": "253-474-5507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOY P. RUIZ-MOLLESTON, M.D., PS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2010-07-20",
"status": "A",
"authorized_official_last_name": "ELDER",
"authorized_official_first_name": "SONYA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BILLING MANGER",
"authorized_official_telephone_number": "360-895-1521"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": "WA",
"license": "MD00024942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1084425",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0039287",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "RU5122",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.