Organization Active NPI

Antonino N Ruscitto DDS Inc

  • General Practice Dentistry
  • Yorba Linda, CA
National Provider Identifier
1083647085
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38222 Issued in CA
Legal business name
ANTONINO N RUSCITTO DDS INC
Practice address
17300 Yorba Linda Blvd
Ste E
Yorba Linda, CA 92886-3810
Phone
(714) 996-1212
Fax
(714) 996-2687
NPI assigned
Jul 10, 2006
Last updated
Feb 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Authorized official

Name
Dr. Antonino Nicola Ruscitto, D.D.S.NPI 1841679453
Title
Owner
Phone
(714) 996-1212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38222 CA Primary

Addresses

Primary practice location

17300 Yorba Linda Blvd
Ste E
Yorba Linda, CA 92886-3810

Mailing address

17300 Yorba Linda Blvd
Ste E
Yorba Linda, CA 92886-3810
Phone (714) 996-1212

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1083647085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 YORBA LINDA BLVD",
            "address_2": "STE E",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863810",
            "telephone_number": "714-996-1212",
            "fax_number": "714-996-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 YORBA LINDA BLVD",
            "address_2": "STE E",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863810",
            "telephone_number": "714-996-1212",
            "fax_number": "714-996-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONINO N RUSCITTO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "RUSCITTO",
        "authorized_official_first_name": "ANTONINO",
        "authorized_official_middle_name": "NICOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-996-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.