{"npi":"1043718737","type":"NPI-1","status":"active","name":{"display":"Roberto Ruiz","other":[],"first":"ROBERTO","last":"RUIZ"},"specialty":{"primary_taxonomy":"101YP2500X","primary_taxonomy_description":"Professional Counselor","slug":"professional-counselor","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":null,"license":null},{"code":"101YP2500X","description":"Professional Counselor","primary":false,"state":null,"license":null},{"code":"225400000X","description":"Rehabilitation Practitioner","primary":false,"state":null,"license":null},{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"101YP2500X","description":"Professional Counselor","primary":true,"state":"CA","license":"16627"}]},"addresses":[{"purpose":"LOCATION","street_1":"18818 OUTER HWY 18","city":"APPLE VALLEY","state":"CA","postal_code":"923072323","country_code":"US","phone":"7609958868"},{"purpose":"MAILING","street_1":"2633 111TH ST","city":"LYNWOOD","state":"CA","postal_code":"902621713","country_code":"US"}],"license":{"state":"CA","number":"16627"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1043718737","state":"CA","issuer":null},{"type_code":"01","label":"Other","value":"1043718737","state":null,"issuer":"TRAINEE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2018-01-27","last_updated":"2024-09-04","_meta":{"source":"NPPES","snapshot_date":"2024-09-04","doc_url":"https://findmynpi.com/api"}}