Healthcare Provider Details

I. General information

NPI: 1114587219
Provider Name (Legal Business Name): ANA MARIA RUIZ-FERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2019
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 E WALKER ST
ORLAND CA
95963-2203
US

IV. Provider business mailing address

604 E WALKER ST
ORLAND CA
95963-2223
US

V. Phone/Fax

Practice location:
  • Phone: 530-865-6459
  • Fax:
Mailing address:
  • Phone: 530-865-6459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: