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

Mrs. Jennie Le Ruiz, NP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1912444688

Mrs. Jennie Le Ruiz, NP-BC is a Nurse Practitioner in Garden Grove, California. Qualified in 2015, 11 years ago. Practices with PIH Health Physicians, a 614-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2017
Specialties on file
3

Practice location Address checks out

12001 Nieta Dr
Garden Grove, CA 92840-3523
Phone: (714) 702-0090
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95003804 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 95003804 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 95003804 (CA)

Record details

NPI number1912444688
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-BC
Sole proprietorYes
NPI enumeratedJanuary 19, 2017
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Pih Health Physicians — 614 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Garden Grove