Jethro Daryl Ruiz, Case Manager
Rehabilitation Practitioner in San Diego, CA. Individual provider (NPI-1).
NPI number1649029752
StatusActive
Last updated in NPPESMar 28, 2025
Details
- NPI
- 1649029752
- Entity type
- Individual (NPI-1)
- Name
- Jethro Daryl Ruiz
- Credential
- Case Manager
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 13, 2024
- Certification date
- Mar 28, 2025
- Last updated
- Mar 28, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
1660 Hotel Cir NSan Diego, CA 92108-2807
Phone 619-961-2120
Mailing address
1660 Hotel Cir NSan Diego, CA 92108-2807
Phone 619-961-2120
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Rehabilitation Practitioner providers in San Diego, CA
- Armando AbarcaNPI 1902762503
- Albert AbutinNPI 1124536966
- Frances Aguayo, BANPI 1609905181
- Alfredo Aguilar MarinNPI 1497394688
- Lisa AguileraNPI 1275663718
- Maria Amelia AguirreNPI 1760513873
- Kalei Robert AhunaNPI 1871973081
- Shiva AkhavizadeganNPI 1194322859
- Josue Alarcon OropezaNPI 1710606447
- Sidrah AlbahsahliNPI 1588560908
All 629 Rehabilitation Practitioner providers in San Diego · All 61,118 providers in San Diego
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.