Dominick Rucireta, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2642 Issued in CA

Practice address

2800 N Harbor Blvd
Fullerton, CA 92835-1727

Phone

(714) 871-9202

NPI assigned

Dec 30, 2014

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1609264605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27442 PORTOLA PKWY",
            "address_2": "STE 200",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351727",
            "telephone_number": "714-871-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCIRETA",
        "first_name": "DOMINICK",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "2642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RSCR California, Inc.
• Alysta Emily Rubalcava
• Jasmine G Rubin
• Michael P. Rubinstein, M.D.
• James R Ruby, LMHC
• David A Ruckman, M.D.
• Kyle Vincent Ruebel
• Jesus Emiliano Rueda Ayala
• Alexis Ruiz
• Amanda Celine Ruiz

• Occupational Therapy Assistant in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.