Active NPI
Kenneth E Ruda, M.A. OTR
- Occupational Therapist
- Alameda, CA
National Provider Identifier
1306184700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT11630
- Practice address
- 430 Willow St
Alameda, CA 94501-6130 - Phone
- (510) 523-8857
- Fax
- (760) 242-1066
- NPI assigned
- Jan 21, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT11630 | CA | Primary |
Addresses
Primary practice location
430 Willow St
Alameda, CA 94501-6130
Mailing address
430 Willow St
Rehab Department Attn: Annadee
Alameda, CA 94501-6130
Phone (510) 523-8857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT11630 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420675200000",
"number": "1306184700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 WILLOW ST",
"address_2": "REHAB DEPARTMENT ATTN: ANNADEE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945016130",
"telephone_number": "510-523-8857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 WILLOW ST",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945016130",
"telephone_number": "510-523-8857",
"fax_number": "760-242-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDA",
"first_name": "KENNETH",
"middle_name": "E",
"credential": "M.A. OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-21",
"last_updated": "2015-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT11630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.