MEDICARE: RUIZ WHEELCHAIR EVALS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1922935998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUIZ WHEELCHAIR EVALS PLLC

Provider Business Mailing Address
First Line	:	30147 RANCHO CALIFORNIA RD APT 726
Second Line	:
City	:	TEMECULA
State	:	CA
Zip	:	92592-5496
Country	:	US
Telephone Number	:	760-419-4750
Fax Number	:

Provider Business Practice Location Address
First Line	:	5333 MEADOW STAR AVE APT 726
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-8980
Country	:	US
Telephone Number	:	760-419-4750
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	GAVIN ARNOLD
Credential	:
Telephone Number	:	760-419-4750

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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