Organization Active NPI

Alan Ruttenberg MD Inc

  • Adult Mental Health Clinic/Center
  • Canoga Park, CA
National Provider Identifier
1497069421
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ALAN RUTTENBERG MD INC
Practice address
22048 Sherman Way
Suite 214
Canoga Park, CA 91303-3001
Phone
(818) 888-8428
Fax
(818) 888-8495
NPI assigned
Aug 2, 2010
Last updated
Aug 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Authorized official

Name
Dr. Alan S Ruttenberg, M.D.NPI 1073680021
Title
Owner
Phone
(818) 888-8428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

22048 Sherman Way
Suite 214
Canoga Park, CA 91303-3001

Mailing address

22048 Sherman Way
Suite 214
Canoga Park, CA 91303-3001
Phone (818) 888-8428

National Provider Directory

National Provider Directory

Locations

22048 Sherman Way
Ste 214
Canoga Park, CA 91303
Phone (818) 888-8423

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1497069421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22048 SHERMAN WAY",
            "address_2": "SUITE 214",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033001",
            "telephone_number": "818-888-8428",
            "fax_number": "818-888-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22048 SHERMAN WAY",
            "address_2": "SUITE 214",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033001",
            "telephone_number": "818-888-8428",
            "fax_number": "818-888-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN RUTTENBERG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "RUTTENBERG",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-888-8428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.