Medical Offices of Robert Rushton, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDICAL OFFICES OF ROBERT RUSHTON, INC.

Practice address

844 S Dora St
Ukiah, CA 95482-5711

Phone

(707) 462-8603

Fax

(707) 462-8605

NPI assigned

Dec 27, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Robert B Rushton, M.D.NPI 1376503839

Title

Owner/President/Physician

Phone

(707) 462-8603

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Rural health clinic certification: CCN 053969

Legal name

MEDICAL OFFICES OF ROBERT RUSHTON INC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jan 12, 1993

Last certification

Jul 21, 2016

Ownership / control type

1B

Organization structure

CorporationProprietary

Incorporated

Jul 1, 2002 in CA

Enrollment address

844 South Dora Street
Ukiah, CA 95482-5711

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Robert B Rushton, M.D.

  • Family Medicine Physician
  • Ukiah, CA
  • NPI 1376503839

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert B Rushton, M.D.

  • Family Medicine Physician
  • Ukiah, CA
  • NPI 1376503839
  Medicare reassignment Authorized official
• Linda Anna Dashiell, FNP-C CNM

  • Family Nurse Practitioner
  • Lakeport, CA
  • NPI 1699777508
  Medicare reassignment NPD
• Margaret Cameron Miniclier, NP

  • Family Nurse Practitioner
  • Ukiah, CA
  • NPI 1740374479
  Medicare reassignment NPD

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1144207671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825711",
            "telephone_number": "707-462-8603",
            "fax_number": "707-462-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825711",
            "telephone_number": "707-462-8603",
            "fax_number": "707-462-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL OFFICES OF ROBERT RUSHTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "RUSHTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "707-462-8603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM03969F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.