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JENNIFER RUIZ
NPI 1205357555
Social Worker - Clinical in San Pablo, CA

Active since June 27, 2017PECOS Enrolled
2023 VALE RD, SAN PABLO, CA 94806(510) 981-4100 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2024, Jun 27, 2017 (2 updates tracked since 2017).

About Jennifer Ruiz NPPES

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

JENNIFER RUIZ (NPI 1205357555) is an individual clinical provider in San Pablo, California, licensed in California (LCSW121577) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205357555
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER RUIZ
Location Address2023 VALE RDSan Pablo, CA 94806-3834
Mailing Address2023 Vale RdSan Pablo, CA 94806-3834 · (510) 981-4100
Phone(510) 981-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 27, 2017
Last NPPES UpdateNovember 19, 20242 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1205357555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW121577
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2023 VALE RD, San Pablo, CA 94806
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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)

Jennifer Ruiz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284124702
PECOS Enrollment IDI20251104001966
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 Jennifer Ruiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifelong Medical Care
1.8 mi
Community Health
150 HARBOUR WAY
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 241 clinicians in this Medicare group
NPI 1407973043 (510) 237-9537

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 94806 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
$0.00 typical visit price
range $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. MANOJ SUMANLAL DESAI M.D.
Specialist
2023 VALE RD, SUITE # 1
SAN PABLO, CA 94806
Contra Costa County (510) 237-3785
DARCY STANLEY CNM/WHNP
Advanced Practice Midwife
2023 VALE RD
SAN PABLO, CA 94806
Contra Costa County (510) 215-9092
AUDREY I SCHAPS NP
Family Medicine
2023 VALE RD
SAN PABLO, CA 94806
Contra Costa County (510) 231-9800
MOLLY ANNE MEKJAVICH CNM
Midwife
2023 VALE RD
SAN PABLO, CA 94806
Contra Costa County (510) 215-9092
BROOKSIDE COMMUNITY HEALTH CENTER, INC
Clinic/Center (Community Health)
2023 VALE RD, SUITE 107
SAN PABLO, CA 94806
Contra Costa County (510) 231-9810
TENZIN YOUDON LCSW
Social Worker (Clinical)
2023 VALE RD
SAN PABLO, CA 94806
Contra Costa County (510) 215-9092
OTIS EUGENE ROUNDS MD
Hospitalist
2023 VALE RD, SUITE 211
SAN PABLO, CA 94806
Contra Costa County (510) 231-0955
MR. GABRIEL R AGUILAR PA-C
Physician Assistant
2023 VALE RD, #107
SAN PABLO, CA 94806
Contra Costa County (510) 215-9092

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 Jennifer Ruiz's NPI number?

The NPI number for Jennifer Ruiz is 1205357555. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Jennifer Ruiz located?

Jennifer Ruiz practices at 2023 Vale Rd, San Pablo, CA 94806. The listed phone number is (510) 981-4100.

What is Jennifer Ruiz's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jennifer Ruiz enrolled in Medicare?

Yes. Jennifer Ruiz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Ruiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Ruiz reassigns Medicare benefits to Lifelong Medical Care (Richmond, 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 Jennifer Ruiz'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 Jennifer Ruiz was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.