Individual provider Active NPI

Jose A Rua, MD

  • Pediatrics Physician
  • Escondido, CA
National Provider Identifier
1699771881
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G38761 Issued in CA
Practice address
215 S Hickory St
Ste 126
Escondido, CA 92025-3439
Phone
(760) 745-7313
Fax
(760) 745-6360
NPI assigned
Jun 22, 2005
Last updated
Dec 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G38761 CA Primary

Addresses

Primary practice location

215 S Hickory St
Ste 126
Escondido, CA 92025-3439

Mailing address

215 S Hickory St
Ste 126
Escondido, CA 92025-4359
Phone (760) 745-7313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G38761CAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1699771881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S HICKORY ST",
            "address_2": "STE 126",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254359",
            "telephone_number": "760-745-7313",
            "fax_number": "760-745-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S HICKORY ST",
            "address_2": "STE 126",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253439",
            "telephone_number": "760-745-7313",
            "fax_number": "760-745-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUA",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G38761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.