MS. YAZMIN RUIZ (NPI# 1306246889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306246889 |
| Entity Type | Individual |
| Full Name | MS. YAZMIN RUIZ |
| Credential | LPT |
| Practice Address |
1901 Cleveland Avenue, Suite B Santa Rosa Treatment Program Santa Rosa CA 95403 |
| Practice Telephone | 7075760818 |
| Mailing Telephone | 7075760818 |
| Mailing Fax Number | 7075767845 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT37428 | CA | Nursing Service Providers |
| Street Address |
1901 CLEVELAND AVENUE, SUITE B SANTA ROSA TREATMENT PROGRAM |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184171134 | Ibrahim Keita | Licensed Psychiatric Technician | 2148 Slater St, Santa Rosa, CA 95404-2428 | 2016-09-07 |
| 1558975169 | Nebiyou Almaw Amshalu | Licensed Psychiatric Technician | 327 College Ave, Santa Rosa, CA 95401-5117 | 2020-09-01 |
| 1457999286 | Irma Martinez | Licensed Psychiatric Technician | 327 College Ave, Santa Rosa, CA 95401-5117 | 2019-12-11 |
| 1003459181 | Megan Gordon | Licensed Psychiatric Technician | 327 College Ave, Santa Rosa, CA 95401-5117 | 2019-10-22 |
| 1063977460 | Gardner Carlson | Licensed Psychiatric Technician | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2019-02-10 |
| 1285185819 | Bruce Black | Licensed Psychiatric Technician | 2225 Challenger Way, Santa Rosa, CA 95407 | 2016-10-19 |
| 1477926194 | Andrea Yvonne Quintana I | Licensed Psychiatric Technician | 1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298 | 2015-11-03 |
| 1851644371 | Amanda Johanna Menary | Licensed Psychiatric Technician | 1901 Cleveland Ave, Santa Rosa, CA 95401-4282 | 2012-10-22 |
| 1194029371 | Denise Black | Licensed Psychiatric Technician | 327 College Ave, Santa Rosa, CA 95401-5117 | 2011-01-03 |
| 1679892939 | Linda Marie Bertolini | Licensed Psychiatric Technician | 1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298 | 2010-05-26 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on MS. YAZMIN RUIZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.