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

Mr. Mark Ericson Ruiz

Individual provider Driver · NPI 1396436267

Mr. Mark Ericson Ruiz is a Driver in Brentwood, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

2689 Presidio Dr
Brentwood, CA 94513-5609
Phone: (925) 698-1207
Fax: (925) 392-8589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence E1378718 (CA)

Record details

NPI number1396436267
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2023
Last updated in NPPESMay 19, 2023
Certification dateMay 19, 2023

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