Brianna Leigh Rupp, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A9787 Issued in CA

Practice address

Uss Tarawa Lha 1 Fpo Ap 96622-1600
San Diego, CA 92136

Phone

(619) 556-3970

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083771877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 LOUISIANA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921044021",
            "telephone_number": "330-701-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USS TARAWA LHA 1 FPO AP 96622-1600",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92136",
            "telephone_number": "619-556-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "BRIANNA",
        "middle_name": "LEIGH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A9787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drucilla Ann Ruocco, PH.D.
• Peter Anthony Ruocco, DDS
• Jaime Ruoff
• Melissa Rupoli
• Anne Patrice Rupp, R.D.
• Margaret Rupp
• Adriana Rusch, MOT, OTR/L
• Chloe Rusconi-Muniz
• Jessica Rush
• Jessica L Rush, M.S. CCC-SLP

• General Practice Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.