MR. MATTHEW L. RUIZ (CRNA) – Certified Registered Nurse Anesthetist, NPI 1912913849

MR. MATTHEW L. RUIZ (CRNA) is a healthcare provider. based in Los angeles, California. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. NA 3075 (CA). The NPI Number for MR. MATTHEW L. RUIZ (CRNA) is 1912913849

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. MATTHEW L. RUIZ (CRNA)
NPI
1912913849
Phone
(310) 440-3131
Address
11999 SAN VICENTE BLVD
Enumeration Date
31 July 2006
Last Update Date
29 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9513532000
Graduation Year
2003 (23 years ago)
PAC ID
0244274033
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20050613001029

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MR. MATTHEW L. RUIZ (CRNA)

  • San Vicente Boulevard, Mid-Wilshire, Los Angeles, Los Angeles County, California, 90019, United States

    STE. 440

    LOS ANGELES, CA 900495131

    Phone: (310) 440-3131

    Fax: (310) 472-9582

    Type: Mailing

  • 900, Washington Street, Colton, San Bernardino County, California, 92324, United States

    STE. 100

    COLTON, CA 923247111

    Phone: (909) 370-2190

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Janssen Biotech, Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$25
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050613001029ICertified Registered Nurse Anesthetist (Crna)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90049)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What number should I use to identify MR. MATTHEW L. RUIZ (CRNA) for billing?
Administrative and clinical systems typically use NPI 1912913849 for MR. MATTHEW L. RUIZ (CRNA).
Quick check: is MR. MATTHEW L. RUIZ (CRNA) active?
Public NPPES data shows MR. MATTHEW L. RUIZ (CRNA) with an active NPI status right now.
What services align with MR. MATTHEW L. RUIZ (CRNA)'s listing?
MR. MATTHEW L. RUIZ (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MR. MATTHEW L. RUIZ (CRNA) tied to Los Angeles, California?
If you are local to Los Angeles, California, MR. MATTHEW L. RUIZ (CRNA) may be relevant to your search.
Why is information missing for MR. MATTHEW L. RUIZ (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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