Emmanuel Mugabo Rutazihana

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

D9705723 Issued in CA

Practice address

1264 E Gibson Rd Ste E500
Woodland, CA 95776-6364

Phone

(530) 574-4406

NPI assigned

Apr 23, 2021

Last updated

Apr 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CMT Assistant LLC

  • Non-emergency Medical Transport (VAN)
  • Woodland, CA
  • NPI 1477135903
  NPD Authorized official

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1538741103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 E GIBSON RD STE E500",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957766364",
            "telephone_number": "530-574-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 E GIBSON RD STE E500",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957766364",
            "telephone_number": "530-574-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTAZIHANA",
        "first_name": "EMMANUEL",
        "middle_name": "MUGABO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "D9705723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Ruiz
• Shasta Nicole Rumminger, MD
• Susana Russ, LCSW
• Matthew Russell, DO
• Russian River Holdings LLC (The Grove Post- Acute)
• Irene Furaha Rutazihana
• Rickey J Sabbatini Jr.
• Maria Luisa Sabino
• Amanda Sager
• Saba Sajid

• Emergency Medical Services (Emergency Medicine) Physician in Woodland, CA
• Providers in Woodland, CA by specialty
• Emergency Medical Services (Emergency Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.