Breanna Ruthrauff, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A61021 Issued in CA

Practice address

2230 Stockton Blvd
Dept of Psychiatry
Sacramento, CA 95817-1419

Phone

(916) 734-2972

Fax

(916) 734-3384

NPI assigned

Nov 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Asclepius Pain Management a

  • Interventional Pain Medicine Physician
  • Sacramento, CA
  • NPI 1811919863
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1235112483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 STOCKTON BLVD",
            "address_2": "DEPT OF PSYCHIATRY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171419",
            "telephone_number": "916-734-2972",
            "fax_number": "916-734-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 STOCKTON BLVD",
            "address_2": "DEPT OF PSYCHIATRY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171419",
            "telephone_number": "916-734-2972",
            "fax_number": "916-734-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHRAUFF",
        "first_name": "BREANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A61021",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A61021",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A61021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Michelle Russo, MD
• Val Solace Ruszovan, LCSW
• Heather Michelle Rutherford, D.D.S.
• Isaiah Rutherford
• Sarah Elisabeth Rutherford, LMP
• Ashton Michaela Rutledge
• Michael Duane Rutledge, L.C.S.W.
• Mary Julia Rutter
• Angie Ruvalcaba
• Bertha Picazo Ruvalcaba, MSW, LCSW

• Psychiatry Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.