Jillian Pennell Rutherford, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10003965 Issued in WA

Practice address

2 Lower Ragsdale Dr Ste 160
Monterey, CA 93940-5840

Phone

(831) 717-4687

Fax

(831) 901-3160

NPI assigned

Mar 27, 2006

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2017 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Donald L Sharman MD Inc PS

  • Internal Medicine Physician
  • Bremerton, WA
  • NPI 1881634251
  NPD (past)
• Steffan R. Tolles, MD

  • Family Medicine Physician
  • Silverdale, WA
  • NPI 1629259437
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1255391884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 EL CAMINO REAL STE 200",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103102",
            "telephone_number": "650-697-2431",
            "fax_number": "650-697-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LOWER RAGSDALE DR STE 160",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405840",
            "telephone_number": "831-717-4687",
            "fax_number": "831-901-3160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 El Camino Real Ste 200",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940103102",
            "country_code": "US",
            "telephone_number": "650-697-2431",
            "fax_number": "650-697-3659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "JILLIAN",
        "middle_name": "PENNELL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10003965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ruiz
• Peter A Ruiz, DC
• Peter Alan Rush
• Lauren Marie Ruskell
• Cynthia Ellen Russell-McClain, N.P., P.A.-C
• Ryan Ranch Medical Group a Medical Corporation
• Ryan Ranch Physical Therapy, Inc (Ryan Ranch Physical Therapy Of Monterey)
• Andrey I Rychkov, MD
• Kara Marie Ryker, M.S., CCC-SLP
• Carina Rzyski

• Medical Physician Assistant in Monterey, CA
• Providers in Monterey, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.