Active NPI
Ruste M Houghton, DC
- Chiropractor
- Fresno, CA
National Provider Identifier
1417076910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC30295
- Practice address
- 285 W Shaw Ave Ste 102
Fresno
Fresno, CA 93704-2654 - Phone
- (559) 286-5851
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC30295 | CA | Primary |
Addresses
Primary practice location
285 W Shaw Ave Ste 102
Fresno
Fresno, CA 93704-2654
Mailing address
1830 E Shepherd Ave Apt 108
Fresno, CA 93720-5616
Phone (559) 779-4528
Other names 1
- Ruste M Jenkins
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC30295 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Performance Physical Therapy, Inc. | Current | Accepting new patients | |
| United Health Centers of the San Joaquin Valley | Past | Accepting new patients |
Locations
1180 W Olive Ave
Ste I
Merced, CA 95348
Phone (209) 384-3255
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- ruste.parker.1@17661.direct.athenahealth.com
Organizations & group practices 2
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.
-
dba Valley Performance Physical Therapy
- Physical Therapy Clinic/Center
- Merced, CA
- NPI 1699333542
-
- Federally Qualified Health Center (FQHC)
- Huron, CA
- NPI 1134101686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1417076910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 E SHEPHERD AVE APT 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937205616",
"telephone_number": "559-779-4528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 W SHAW AVE STE 102",
"address_2": "FRESNO",
"city": "FRESNO",
"state": "CA",
"postal_code": "937042654",
"telephone_number": "559-286-5851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUGHTON",
"first_name": "RUSTE",
"middle_name": "M",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC30295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RUSTE",
"last_name": "JENKINS",
"middle_name": "M",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.