Individual provider Active NPI

Rutu Joshi-Tett

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1356733380
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
66868 Issued in CA
Practice address
2520 Northside Dr Apt 202
San Diego, CA 92108-2794
Phone
(630) 965-4761
NPI assigned
Feb 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 66868 CA Primary

Addresses

Primary practice location

2520 Northside Dr Apt 202
San Diego, CA 92108-2794

Mailing address

2520 Northside Dr Apt 202
San Diego, CA 92108-2794
Phone (630) 965-4761

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

LicenseStateTypeSpecialty
66868CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1356733380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 NORTHSIDE DR APT 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082794",
            "telephone_number": "630-965-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 NORTHSIDE DR APT 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082794",
            "telephone_number": "630-965-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI-TETT",
        "first_name": "RUTU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "66868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.