Organization Active NPI

Dr Ruckers Wellness Center Inc

  • Family Medicine Physician
  • Visalia, CA
National Provider Identifier
1104974716
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DR RUCKERS WELLNESS CENTER INC
Practice address
2305 W Midvalley Ave
Visalia, CA 93277-9455
Phone
(559) 635-1746
Fax
(559) 635-0493
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Rita Nye
Title
Billing Super
Phone
(559) 783-1181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2305 W Midvalley Ave
Visalia, CA 93277-9455

Mailing address

2305 W Midvalley Ave
Visalia, CA 93277-9455
Phone (559) 635-1746

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1104974716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 W MIDVALLEY AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779455",
            "telephone_number": "559-635-1746",
            "fax_number": "559-635-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 W MIDVALLEY AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779455",
            "telephone_number": "559-635-1746",
            "fax_number": "559-635-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RUCKERS WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "NYE",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "BILLING SUPER",
        "authorized_official_telephone_number": "559-783-1181"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.