Healthcare Provider Details

I. General information

NPI: 1528978558
Provider Name (Legal Business Name): MS. JAMIE G RUIZ ALMANZA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2890 INLAND EMPIRE BLVD STE 100
ONTARIO CA
91764-4649
US

IV. Provider business mailing address

1112 BIG CANYON DR
SAN BERNARDINO CA
92407-4187
US

V. Phone/Fax

Practice location:
  • Phone: 909-233-7265
  • Fax:
Mailing address:
  • Phone: 909-233-7265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number140679
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: