ROBERTO RUIZ NPI 1043718737

NPI Information

NPI: 1043718737
Provider Name: ROBERTO RUIZ
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
18818 OUTER HWY 18
APPLE VALLEY, CA
ZIP 92307
Phone: (760) 995-8868
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Roberto Ruiz is a mental health counselor in Apple Valley, CA. Roberto Ruiz NPI is 1043718737. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18818 OUTER HWY 18
APPLE VALLEY, CA
ZIP 92307-323
Phone: (760) 995-8868

The enumeration date for this NPI number is 1/27/2018 and was last updated on 12/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YP2500X	Counselor	Professional	No
2	225400000X	Rehabilitation Practitioner		No
3	390200000X	Student in an Organized Health Care Education/Training Program		No
4	101YM0800X	Counselor	Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1043718737	MEDICAID	CALIFORNIA
2	1043718737	OTHER		TRAINEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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