KATORA MAE YELLOW HORSE-RUIZ LCSW
NPI 1508396110
Social Worker - Clinical in San Jose, CA

Q: What is Katora Yellow Horse-ruiz's NPI number?

The NPI number for Katora Yellow Horse-ruiz is 1508396110. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Q: What is Katora Yellow Horse-ruiz's specialty?

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

Active since June 15, 2017PECOS Enrolled

1118 MERIDIAN AVE STE 150, SAN JOSE, CA 95125(408) 445-8172 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2025, Sep 23, 2020, Jul 12, 2017 and 1 more (4 updates tracked since 2017).

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About Katora Mae Yellow Horse-ruiz Lcsw NPPES

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

KATORA MAE YELLOW HORSE-RUIZ LCSW (NPI 1508396110) is an individual clinical provider in San Jose, California, licensed in California (94872) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1508396110

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKATORA MAE YELLOW HORSE-RUIZCredential: LCSW

Location Address1118 MERIDIAN AVE STE 150San Jose, CA 95125-4352

Mailing Address1795 Llagas RdMorgan Hill, CA 95037-9547 · (669) 253-0940

Phone(408) 445-8172

Sole ProprietorNo

Enumeration DateJune 15, 2017

Last NPPES UpdateJune 9, 20254 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1508396110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 94872

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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1118 MERIDIAN AVE STE 150, San Jose, CA 95125

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Secondary Practice Locations 4

Location 12039 Forest Ave Ste 105San Jose, CA 95128-4815 · Phone (408) 947-2929

Location 21333 Meridian AveSan Jose, CA 95125-5212 · Phone (408) 445-3400

Location 31642 E Capitol ExpySan Jose, CA 95121-1800 · Phone (408) 445-3431

Location 4455 OConnor DrSan Jose, CA 95128-1633 · Phone (408) 283-7676

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katora Mae Yellow Horse-ruiz Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Katora Yellow Horse-ruiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Indian Health Center Of Santa Clara Valley

Same address

Federally Qualified Health Center (FQHC)

1118 MERIDIAN AVE STE 150
San Jose, CA 95125

Reassigned Medicare billing, California enrollment
66 clinicians in this Medicare group

NPI 1275964488 (408) 445-3400

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 95125 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 $70.37 – $206.04

Typical copayment $0.00 (range $17.59 – $51.51)

Most-billed visit code NA

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

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 7

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

SKYE ANGEL MARIE THUNDER

Rehabilitation Practitioner