Provider Demographics
NPI:1740174036
Name:SAPIA, RUBY
Entity type:Individual
Prefix:
First Name:RUBY
Middle Name:
Last Name:SAPIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 BRICKYARD COVE RD STE 111
Mailing Address - Street 2:
Mailing Address - City:POINT RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94801-4112
Mailing Address - Country:US
Mailing Address - Phone:510-215-6009
Mailing Address - Fax:
Practice Address - Street 1:1160 BRICKYARD COVE RD STE 111
Practice Address - Street 2:
Practice Address - City:POINT RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94801-4112
Practice Address - Country:US
Practice Address - Phone:510-215-6009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program