MRS. KRISTY ANNA RUIZ
NPI 1003471079
Peer Specialist in San Bernardino, CA

Q: What is Kristy Ruiz's NPI number?

The NPI number for Kristy Ruiz is 1003471079. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Q: What is Kristy Ruiz's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristy Ruiz was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 06, 2019

658 E BRIER DR, SAN BERNARDINO, CA 92408(909) 501-0820 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2019, May 31, 2019, May 6, 2019 (3 updates tracked since 2019).

On this page

About Mrs. Kristy Anna Ruiz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KRISTY ANNA RUIZ (NPI 1003471079) is an individual peer specialist in San Bernardino, California, licensed in (NA) and active in the NPI registry since May 2019. She maintains a secondary practice location in San Bernardino.

NPPES Registry Identity

NPI1003471079

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameMRS. KRISTY ANNA RUIZ

Location Address658 E BRIER DRSan Bernardino, CA 92408

Mailing Address658 E Brier DrSan Bernardino, CA 92408-2880 · (909) 501-0820

Phone(909) 501-0820

Sole ProprietorNo

Enumeration DateMay 6, 2019

Last NPPES UpdateNovember 20, 20193 updates tracked since enumeration

✔ NPI 1003471079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed · NA

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

658 E BRIER DR, San Bernardino, CA 92408

Open in Google Maps ↗

Secondary Practice Location 1

Location 1658 E Brier DrSan Bernardino, CA 92408 · Phone (909) 501-0820

Other Identifiers 1

OtherH5318CA · County Of San Bernardino

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISHA MASSENGALE

Rehabilitation Practitioner