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RUBY PALOMINO AYALA NP
NPI 1104713247
Nurse Practitioner - Adult Health in Oxnard, CA

Active since June 20, 2025PECOS Enrolled
5249 REEF WAY, OXNARD, CA 93035(714) 728-7003 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ruby Palomino Ayala Np NPPES

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

RUBY PALOMINO AYALA NP (NPI 1104713247) is an individual adult health provider in Oxnard, California, licensed in California (95035076) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104713247
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameRUBY PALOMINO AYALACredential: NP
Location Address5249 REEF WAYOxnard, CA 93035-1062
Mailing Address5249 Reef WayOxnard, CA 93035-1062 · (714) 728-7003
Phone(714) 728-7003
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 20, 2025
NPPES CertifiedJune 20, 2025
✔ NPI 1104713247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 95035076
5249 REEF WAY, Oxnard, CA 93035
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ruby Palomino Ayala Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395220719
PECOS Enrollment IDI20260402001854
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ruby Palomino Ayala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Augusto Focil M D A Professional Corporation
26 mi
Preferred Provider Organization
300 S A ST STE 105
Oxnard, CA 93030
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1194910422 (805) 486-6565

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ruby Palomino Ayala's NPI number?

The NPI number for Ruby Palomino Ayala is 1104713247. It was assigned to this individual provider in the NPPES registry on June 20, 2025.

Where is Ruby Palomino Ayala located?

Ruby Palomino Ayala practices at 5249 Reef Way, Oxnard, CA 93035. The listed phone number is (714) 728-7003.

What is Ruby Palomino Ayala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Ruby Palomino Ayala enrolled in Medicare?

Yes. Ruby Palomino Ayala is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ruby Palomino Ayala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruby Palomino Ayala reassigns Medicare benefits to Augusto Focil M D A Professional Corporation (Oxnard, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ruby Palomino Ayala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ruby Palomino Ayala was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.