Ruthiva LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

RUTHIVA LLC

Practice address

10601 Tierrasanta Blvd
Ste G-188
San Diego, CA 92124-2616

Phone

(619) 241-4616

Fax

(858) 569-6917

NPI assigned

Apr 20, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jack G Slagle

Title

Managing Member

Phone

(619) 241-4616

Specialties & licenses 1

Addresses

Other names 1

• Wig Van Doing business as

Locations

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1487945739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 TIERRASANTA BLVD",
            "address_2": "STE G-188",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242616",
            "telephone_number": "619-241-4616",
            "fax_number": "858-569-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 TIERRASANTA BLVD",
            "address_2": "STE G-188",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242616",
            "telephone_number": "619-241-4616",
            "fax_number": "858-569-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTHIVA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "SLAGLE",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "619-241-4616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wig Van",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Ruth, RN
• Annaliese Miriam Ruthberg
• Dawn Michelle Rutherford, MS, RDN
• Kelly Joanne Rutherford, MA
• Walter Dackerman Rutherford, M.F.T.
• Alissa A Rutkoski, D.C.
• Kenneth Todd Rutkowski, P.T.
• Mary Rutland, LCSW
• Hilary Joyce Rutledge, DC
• Isis Burakom Rutledge, LMT

• Prosthetic/Orthotic Supplier in San Diego, CA
• Providers in San Diego, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.