Jon J Rusciano, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

P1137 Issued in TX

Practice address

144 Stony Point Rd
Santa Rosa, CA 95401-4122

Phone

(707) 521-4500

Fax

(707) 521-4685

NPI assigned

Nov 21, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Texas Medical School at Houston, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sonoma County Indian Health Project IncGroup PAC ID 2961491238, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Sonoma County Indian Health Project, Inc

  • Federally Qualified Health Center (FQHC)
  • Santa Rosa, CA
  • NPI 1265457980
  Medicare reassignment Care Compare group NPD
• Sonoma County Indian Health Project, Inc

  • Community/Retail Pharmacy
  • Santa Rosa, CA
  • NPI 1568461267
  NPD (past)
• Sonoma County Indian Health Project, Inc

  • Federally Qualified Health Center (FQHC)
  • Point Arena, CA
  • NPI 1578729380
  NPD (past)
• University of Houston Health Center

  • Student Health Clinic/Center
  • Houston, TX
  • NPI 1528454675
  NPD (past)
• University of Houston System

  • Optometrist
  • Houston, TX
  • NPI 1861493140
  NPD (past)

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1598032385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 STONY POINT RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014122",
            "telephone_number": "707-521-4500",
            "fax_number": "707-544-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 STONY POINT RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014122",
            "telephone_number": "707-521-4500",
            "fax_number": "707-521-4685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5233 Bellaire Blvd # 226",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "77401",
            "country_code": "US",
            "telephone_number": "832-380-5354",
            "fax_number": "662-554-4536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1571 Sawgrass Corporate Pkwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333232807",
            "country_code": "US",
            "telephone_number": "800-400-6354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSCIANO",
        "first_name": "JON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-21",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P1137",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A153171",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A153171",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CA898913",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Ruiz, HC
• Yazmin Ruiz, LPT
• Rujju Consultants LLC
• Hiko Ruo, DMD
• Alexandra Rusake
• Alex Rush
• Ranolph Duane Rush, DDS
• Jill Elizabeth Rushton-Miller, MD
• Brandon Timothy Russell
• Celena Russell

• Psychiatry Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.