M. Theresa Rusch, M.D., Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

C51083 Issued in CA

Legal business name

M. THERESA RUSCH, M.D., INC

Practice address

396 W Putnam Ave
Porterville, CA 93257-3323

Phone

(559) 781-5022

Fax

(559) 781-6990

NPI assigned

Oct 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Maria Theresa Rusch, M.D.NPI 1154371292

Title

President

Phone

(559) 781-5022

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Theresa Rusch, M.D.

  • Pediatrics Physician
  • Porterville, CA
  • NPI 1154371292
  NPD (past) Authorized official
• Lauren Lewis Bradley, NP

  • Primary Care Nurse Practitioner
  • Madera, CA
  • NPI 1063883551
  NPD (past)
• Eung Wook Huh, MD

  • Pediatrics Physician
  • Porterville, CA
  • NPI 1417975244
  NPD (past)

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1487980538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573323",
            "telephone_number": "559-781-5022",
            "fax_number": "559-781-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573323",
            "telephone_number": "559-781-5022",
            "fax_number": "559-781-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. THERESA RUSCH, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "RUSCH",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-781-5022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "C51083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C51083",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizanne Cruz Luna, P.T.
• Oscar Luna Luna
• Amy Truong Luong
• Steven Wayne Lutzker, MD
• Maryjane Lybarger, CNA
• Erick Madrigal, M.D.
• Mathew Adrian Madrigal
• Isidro Magana Jr.
• Julissa G Magana
• Maria Manuela Magana

• Primary Care Clinic/Center in Porterville, CA
• Providers in Porterville, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.