1. Home
  2. Directory
  3. California
  4. San Diego
  5. Rehabilitation Practitioner
  6. NPI Profile

JETHRO DARYL RUIZ CASE MANAGER
NPI 1649029752
Rehabilitation Practitioner in San Diego, CA

Active since May 13, 2024
1660 HOTEL CIR N, SAN DIEGO, CA 92108(619) 961-2120 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2025, Aug 8, 2024, May 13, 2024 (3 updates tracked since 2024).

About Jethro Daryl Ruiz Case Manager NPPES

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

JETHRO DARYL RUIZ CASE MANAGER (NPI 1649029752) is an individual rehabilitation practitioner in San Diego, California and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1649029752
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameJETHRO DARYL RUIZCredential: CASE MANAGER
Location Address1660 HOTEL CIR NSan Diego, CA 92108-2807
Mailing Address1660 Hotel Cir NSan Diego, CA 92108-2807 · (619) 961-2120
Phone(619) 961-2120
Sole ProprietorNo
Enumeration DateMay 13, 2024
Last NPPES UpdateMarch 28, 20253 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1649029752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1660 HOTEL CIR N, San Diego, CA 92108
Open in Google Maps ↗

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.

LITO APPLE DE LUCA ACSW
Social Worker (Clinical)
1660 HOTEL CIR N
SAN DIEGO, CA 92108
San Diego County (619) 573-4245
BRITTANY CAMPBELL
Student in an Organized Health Care Education/Training Program
1660 HOTEL CIR N
SAN DIEGO, CA 92108
San Diego County (619) 961-2120
DANIELLE GIANQUINTO
Case Manager/Care Coordinator
1660 HOTEL CIR N
SAN DIEGO, CA 92108
San Diego County (619) 961-2120
LESLIE BARDEN
Technician, Health Information
1660 HOTEL CIR N, SUITE 101
SAN DIEGO, CA 92108
San Diego County (619) 481-3840
FARID NIKFAM
Home Health Aide
1660 HOTEL CIR N
SAN DIEGO, CA 92108
San Diego County (619) 961-2120
MICHAEL BOWERS CAATC I
Case Manager/Care Coordinator
1660 HOTEL CIR N
SAN DIEGO, CA 92108
San Diego County (619) 759-1548
CESAR FLORES
Case Manager/Care Coordinator
1660 HOTEL CIR N, SUITE 314
SAN DIEGO, CA 92108
San Diego County (619) 961-2120
SHANNON LAMOUREUX
Case Manager/Care Coordinator
1660 HOTEL CIR N, SUITE 314
SAN DIEGO, CA 92108
San Diego County (619) 961-2120

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 Jethro Ruiz's NPI number?

The NPI number for Jethro Ruiz is 1649029752. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Jethro Ruiz located?

Jethro Ruiz practices at 1660 Hotel Cir N, San Diego, CA 92108. The listed phone number is (619) 961-2120.

What is Jethro Ruiz's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Jethro Ruiz was last updated on March 28, 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.