Dianne Rust, CMT

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

7990 Issued in CA

Practice address

517 Blossom Hill Rd Apt A14
Los Gatos, CA 95032-4537

Phone

(408) 887-7107

NPI assigned

Nov 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1568129286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 BLOSSOM HILL RD APT A14",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324537",
            "telephone_number": "408-887-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 BLOSSOM HILL RD APT A14",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324537",
            "telephone_number": "408-887-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUST",
        "first_name": "DIANNE",
        "name_prefix": "Miss",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "7990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "vagaro.com",
            "affiliation": "N",
            "endpointDescription": "email where medical and insurance providers may contact me",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "communication",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "txt",
            "address_1": "10 Jackson St Ste 111B",
            "city": "Los Gatos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950307170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fernando Ruiz
• Jasmine Ruiz
• Richard Ruiz
• Russell J. Andrews MD Professional Corporation
• Erica Rose Russell, LPC-897
• Richard Owen Rutter, CMT
• Jacqueline Sarah Ruvalcaba
• Ryan P. Basham MD
• Edwin Emil Ryan, DPT, ATC, RCEP
• Kimberly Christine Ryan

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.