Active NPI
David Ruso, LMFT
- Marriage & Family Therapist
- Soquel, CA
National Provider Identifier
1316235492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 90982
- Practice address
- 3121 Park Ave Ste K
Soquel, CA 95073-2956 - Phone
- (831) 428-2222
- NPI assigned
- Jul 11, 2011
- Last updated
- Jul 26, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 90982 | CA | Primary |
Addresses
Primary practice location
3121 Park Ave Ste K
Soquel, CA 95073-2956
Mailing address
3121 Park Ave Ste K
Soquel, CA 95073-2956
Phone (831) 428-2222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ91892Z | Other | CA | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
| ZZZ92069Z | Other | CA | SANTA CRUZ COUNTY MEDICARE GROUP # |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90982 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501027200000",
"number": "1316235492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 PARK AVE STE K",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950732956",
"telephone_number": "831-428-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 PARK AVE STE K",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950732956",
"telephone_number": "831-428-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSO",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-11",
"last_updated": "2017-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "90982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CRUZ COUNTY MEDICARE GROUP PTAN#",
"identifier": "ZZZ91892Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CRUZ COUNTY MEDICARE GROUP #",
"identifier": "ZZZ92069Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Soquel, CA
- Maria Guadalupe Rodriguez
- Paige Autumn Rogers, RN
- Angela Rose, LMFT 98940
- Amy Ryanne Rubio, D.C.
- Maria Ascension Runciman, MSW
- Safe at Home Senior Care, Inc.
- Safeway Inc (Safeway Pharmacy #1929)
- Veronica Clark San Chirico Miller, MFT
- Mayra Lizeth Sanjuan, LA.C, DTCM
- Santa Cruz Community Counseling Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.