Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Derrick Ruiz, CATC-III

Individual provider Rehabilitation Practitioner · NPI 1255952172

Mr. Derrick Ruiz, CATC-III is a Rehabilitation Practitioner in San Diego, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

3132 Jefferson St
San Diego, CA 92110-4421
Phone: (619) 683-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (CA)

Record details

NPI number1255952172
Entity typeIndividual (Type 1)
GenderMale
Credentials CATC-III
Sole proprietorNo
NPI enumeratedMay 1, 2020
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026

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