NICOLAS KANE RUIZ
NPI 1841771037
Counselor - Mental Health in San Leandro, CA

Q: What is Nicolas Ruiz's NPI number?

The NPI number for Nicolas Ruiz is 1841771037. It was assigned to this individual provider in the NPPES registry on August 24, 2018.

Q: What is Nicolas Ruiz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Nicolas Ruiz was last updated on January 20, 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 August 24, 2018PECOS Enrolled

2275 ARLINGTON DR, SAN LEANDRO, CA 94578(510) 317-1444 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2023, Nov 11, 2021, Aug 24, 2018 (3 updates tracked since 2018).

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About Nicolas Kane Ruiz NPPES

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

NICOLAS KANE RUIZ (NPI 1841771037) is an individual mental health provider in San Leandro, California, licensed in California (112872) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1841771037

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameNICOLAS KANE RUIZ

Location Address2275 ARLINGTON DRSan Leandro, CA 94578-1132

Mailing Address2275 Arlington DrSan Leandro, CA 94578-1132 · (510) 317-1444

Phone(510) 317-1444

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 24, 2018

Last NPPES UpdateJanuary 20, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2023

✔ NPI 1841771037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · 112872

2275 ARLINGTON DR, San Leandro, CA 94578

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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)

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

PECOS PAC ID5395238521

PECOS Enrollment IDI20251204004923

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 20

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

ANUSHEH N WARDA

Counselor