MELISSA EILLEEN RUANO
NPI 1194466409
Counselor - Professional in San Diego, CA

Q: What is Melissa Ruano's NPI number?

The NPI number for Melissa Ruano is 1194466409. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Q: What is Melissa Ruano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Ruano was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 02, 2022PECOS Enrolled

5555 RESERVOIR DR STE 204-A, SAN DIEGO, CA 92120(619) 822-1800(619) 839-3872 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2023, Jul 26, 2022, Jul 7, 2022 and 1 more (4 updates tracked since 2022).

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About Melissa Eilleen Ruano NPPES

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

MELISSA EILLEEN RUANO (NPI 1194466409) is an individual professional provider in San Diego, California, licensed in California (APCC11729) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194466409

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMELISSA EILLEEN RUANO

Location Address5555 RESERVOIR DR STE 204-ASan Diego, CA 92120-5134

Mailing Address5555 Reservoir Dr Ste 204-aSan Diego, CA 92120-5134 · (619) 822-1800 · Fax (619) 839-3872

Phone(619) 822-1800

Fax(619) 839-3872

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 2, 2022

Last NPPES UpdateFebruary 28, 20234 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2023

✔ NPI 1194466409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CA · APCC11729

5555 RESERVOIR DR STE 204-A, San Diego, CA 92120

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Eilleen Ruano is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133628456

PECOS Enrollment IDI20250814003863

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.

Other Providers at the Same Location NPPES 10

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

KELLY LEE COZBY

Student in an Organized Health Care Education/Training Program