Active NPI
Jennifer Ruthenburg, M.D.
- Psychiatry Physician
- San Francisco, CA
National Provider Identifier
1356787105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A131997
- Practice address
- 3632 Sacramento St Ste 3
San Francisco, CA 94118-1710 - Phone
- (415) 234-3258
- NPI assigned
- May 21, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A131997 | CA | Primary |
Addresses
Primary practice location
3632 Sacramento St Ste 3
San Francisco, CA 94118-1710
Mailing address
3632 Sacramento St Ste 3
San Francisco, CA 94118-1710
Phone (415) 234-3258
Other names 1
- Jennifer Hagstrom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 6, 2022 through Jul 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A131997 | CA | MD | Psychiatry Physician |
Interoperability endpoints
- jhagstrom46576@alamedahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1356787105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3632 SACRAMENTO ST STE 3",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181710",
"telephone_number": "415-234-3258",
"fax_number": "415-237-7065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3632 SACRAMENTO ST STE 3",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181710",
"telephone_number": "415-234-3258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTHENBURG",
"first_name": "JENNIFER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A131997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HAGSTROM",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.