Individual provider Active NPI

Jeannine Ruskin, L.AC.

  • Acupuncturist
  • Santa Cruz, CA
National Provider Identifier
1104291871
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
16736 Issued in CA
Practice address
770 26TH Ave Ste a&B
Santa Cruz, CA 95062-5004
Phone
(831) 200-4325
NPI assigned
Dec 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 16736 CA Primary

Addresses

Primary practice location

770 26TH Ave Ste a&B
Santa Cruz, CA 95062-5004

Mailing address

403 13TH Ave
Santa Cruz, CA 95062-4854
Phone (831) 200-4325

Other practice location 1

3065 Porter St Ste 105
Soquel, CA 95073-2231
Phone (831) 200-4325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1104291871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 13TH AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624854",
            "telephone_number": "831-200-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 26TH AVE STE A&B",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950625004",
            "telephone_number": "831-200-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3065 Porter St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Soquel",
            "state": "CA",
            "postal_code": "950732231",
            "country_code": "US",
            "telephone_number": "831-200-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSKIN",
        "first_name": "JEANNINE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.