Active NPI
Ruth Ann Rassel, D.O.
- Surgery Physician
- Tiburon, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20A9890
- Practice address
- 2 Mariposa CT
Tiburon, CA 94920-2017 - Phone
- (415) 272-1131
- Fax
- (415) 435-5064
- NPI assigned
- Jul 16, 2007
- Last updated
- Jul 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20A9890 | CA | Primary |
| Surgery Physician | 208600000X | 36116771 | IL |
Addresses
Primary practice location
2 Mariposa CT
Tiburon, CA 94920-2017
Mailing address
2 Mariposa CT
Tiburon, CA 94920-2017
Phone (415) 272-1131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36116771 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northbay Healthcare Group | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients | |
| DHP of Northbay Medical Group Inc | Surgery | Past | Accepting new patients |
Locations
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
1860 Pennsylvania Ave
Ste 200
Fairfield, CA 94533
Phone (707) 427-5211
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba dba NorthBay Medical Center
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
-
dba NorthBay VacaValley Hospital
- Multi-Specialty Clinic/Center
- Vacaville, CA
- NPI 1760534713
-
- Surgery Physician
- Fairfield, CA
- NPI 1336404557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1013116433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MARIPOSA CT",
"city": "TIBURON",
"state": "CA",
"postal_code": "949202017",
"telephone_number": "415-272-1131",
"fax_number": "415-435-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MARIPOSA CT",
"city": "TIBURON",
"state": "CA",
"postal_code": "949202017",
"telephone_number": "415-272-1131",
"fax_number": "415-435-5064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASSEL",
"first_name": "RUTH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "20A9890",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "36116771",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tiburon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.