Brenda M Ruckstuhl, M.S., R.D., CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

801383 Issued in CA

Practice address

2660 Townsgate Rd
Ste 780
Westlake Village, CA 91361-2714

Phone

(805) 905-9238

Fax

(805) 493-8217

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brenda M Hadjian Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1255465936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 SYRINGA ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601637",
            "telephone_number": "805-905-9238",
            "fax_number": "805-493-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 TOWNSGATE RD",
            "address_2": "STE 780",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612714",
            "telephone_number": "805-905-9238",
            "fax_number": "805-493-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKSTUHL",
        "first_name": "BRENDA",
        "middle_name": "M",
        "credential": "M.S., R.D., CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "801383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "HADJIAN",
            "middle_name": "M",
            "credential": "M.S., R.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Dietitian in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.