Innovative Treatment Associates Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INNOVATIVE TREATMENT ASSOCIATES INC

Practice address

3581 Palmer Dr Ste 601
Cameron Park, CA 95682-8238

Phone

(530) 391-9196

NPI assigned

Jun 3, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Allen Rulison, MD

Title

President

Phone

(530) 391-9196

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1003430299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 CINSANT DR UNIT 2",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956827004",
            "telephone_number": "530-391-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 PALMER DR STE 601",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828238",
            "telephone_number": "530-391-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE TREATMENT ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "RULISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-391-9196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark E. Holthouse, M.D.
• Sarah M Howlett
• Debra Ann Ialeggio, MFT
• Infant Parent Center
• Innovative Treatment Associates
• Lianne Chiemi Inouye, O.D.
• Kristopher T. Isaacs, P.T.
• Jackson Chiropractic Inc
• Garrell Keithe Jackson, DC
• Russell F Jacoby, MD

• Clinic/Center in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.