DR. JOHN STATE RUSIN (NPI# 1568711406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568711406 |
| Entity Type | Individual |
| Full Name | DR. JOHN STATE RUSIN |
| Credential | PT, DPT, CSCS |
| Practice Address |
1241 Prospect St Apartment 5 La Jolla CA 92037-0000 |
| Mailing Address |
1241 Prospect St Apartment 5 La Jolla CA 92037 |
| Practice Telephone | 7164810675 |
| Mailing Telephone | 7164810675 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 39331 | CA | Other Service Providers |
| Street Address |
1241 PROSPECT ST APARTMENT 5 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255860136 | Ximed Wound Care Clinic, Inc. | Specialist | 9850 Genesee Ave Ste 360, La Jolla, CA 92037-1212 | 2017-06-05 |
| 1851747604 | Lily Janet Kotila | Specialist | 7752 Fay Ave Ste B, La Jolla, CA 92037-4328 | 2016-05-11 |
| 1114335403 | Duncan T Mitchell | Specialist | 8261 La Jolla Scenic Dr N, La Jolla, CA 92037-2218 | 2014-07-30 |
| 1033546916 | Reproductive Partners Medical Group La Jolla, Inc | Specialist | 9850 Genesee Ave Ste 800, La Jolla, CA 92037-1219 | 2013-10-08 |
| 1740522309 | Hsien-lin Huang | Specialist | 9868 Black Gold Rd, La Jolla, CA 92037-1116 | 2013-03-21 |
| 1689934168 | Kenneth John Blunt | Specialist | 5942 Avenida Chamnez, La Jolla, CA 92037-7402 | 2012-05-18 |
| 1417237751 | Francis Joseph Pedace | Specialist | 7030 Neptune Pl, La Jolla, CA 92037-5328 | 2011-08-18 |
| 1457639155 | Robert Aschenbrenner | Specialist | 711 Kline St Unit B, La Jolla, CA 92037-4451 | 2011-07-28 |
| 1093008583 | Duc Minh Ha | Specialist | 9300 Campus Point Dr # 7381, La Jolla, CA 92037-1300 | 2011-05-17 |
| 1588966238 | La Jolla Cosmetic Laser Clinic Inc | Specialist | 7720 Fay Ave, La Jolla, CA 92037-4309 | 2010-12-01 |
| Find all providers in LA JOLLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.