Active NPI
Raymond S. Ruzicano, M.D.Inc
- Psychiatry Physician
- Walnut Creek, CA
National Provider Identifier
1023367398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G33140
- Legal business name
- RAYMOND S. RUZICANO, M.D.INC
- Practice address
- 112 La Casa Via
Suite 345
Walnut Creek, CA 94598-3091 - Phone
- (925) 943-1400
- NPI assigned
- Sep 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymondr S Ruzicano, MD
- Title
- Owner
- Phone
- (925) 943-1400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G33140 | CA | Primary |
Addresses
Primary practice location
112 La Casa Via
Suite 345
Walnut Creek, CA 94598-3091
Mailing address
112 La Casa Via
Suite 345
Walnut Creek, CA 94598-3091
Phone (925) 943-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
112 La Casa Via
Ste 345
Walnut Creek, CA 94598
Phone (925) 943-1400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Walnut Creek, CA
- NPI 1811062508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346544000000",
"number": "1023367398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 LA CASA VIA",
"address_2": "SUITE 345",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983091",
"telephone_number": "925-943-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 LA CASA VIA",
"address_2": "SUITE 345",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983091",
"telephone_number": "925-943-1400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMOND S. RUZICANO, M.D.INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-02",
"last_updated": "2012-09-02",
"status": "A",
"authorized_official_last_name": "RUZICANO",
"authorized_official_first_name": "RAYMONDR",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "925-943-1400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G33140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.