David Mark Rudnick, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G085214 Issued in CA

Practice address

1496 Professional Dr
Suite 603
Petaluma, CA 94954-6698

Phone

(707) 762-0059

NPI assigned

Apr 19, 2006

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drudnick106534@direct-ucsfmedicalcenter.org

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.

• Regents Univ of California UCSF

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1124439807
  NPD

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1285699660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1496 PROFESSIONAL DR",
            "address_2": "SUITE 603",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546698",
            "telephone_number": "707-762-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 PROFESSIONAL DR",
            "address_2": "SUITE 603",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546698",
            "telephone_number": "707-762-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNICK",
        "first_name": "DAVID",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G085214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Roy
• Stacy Roy, MS
• Chalene Roybal
• Glenn T Royes, HSC
• Brenda Marelyn Rubio, RBT CERTIFIED
• Alexandra Rush
• Russell Family Acupuncture, Inc
• Russell W. Sawyer, M.D. Professional Corporation
• David C. Russell, L.AC.
• Michaela Rutland

• Urology Physician in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.