NPIMap

Individual provider Active NPI

Tarun Rustagi, M.D.

  • Gastroenterology Physician
  • San Francisco, CA
National Provider Identifier
1801045513
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
9622696 Issued in CA
Practice address
1100 Van Ness Ave
San Francisco, CA 94109-6978
Phone
(415) 600-1000
Fax
(415) 558-7051
NPI assigned
Sep 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9622696 CA
Gastroenterology Physician 207RG0100X MD2016-0322 NM
Gastroenterology Physician 207RG0100X 9622696 CA Primary

Addresses

Primary practice location

1100 Van Ness Ave
San Francisco, CA 94109-6978

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (415) 600-1000

Other identifiers 1

IdentifierTypeStateIssuer
C177126OtherCASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220728000266 CA Practitioner - Gastroenterology 4587975917 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kern County Hospital Authority 264 clinicians
Adventist Health Physicians Network 628 clinicians

Practice addresses (Care Compare)

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

2701 Chester Ave
Bakersfield, CA 93301-2016

Hospital & facility affiliations

  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Kern Medical Center Hospital, Bakersfield, CA, CCN 050315
  • Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036
  • Mercy Hospital Hospital, Bakersfield, CA, CCN 050295
  • Adventist Health Delano Hospital, Delano, CA, CCN 050608

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy171
Upper gastrointestinal (GI) endoscopy for acid reflux1065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9622696CAMDGastroenterology Physician
MD2016-0322NMMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reedley Community Hospital CurrentSince May 28, 2023 Accepting new patients
Adventist Health Physicians Network Family Medicine CurrentSince Mar 16, 2023 Accepting new patients
Reedley Community Hospital CurrentSince May 28, 2023 Accepting new patients
Kern County Hospital Authority CurrentSince Mar 1, 2023 Accepting new patients
Kern County Hospital Authority CurrentSince Mar 1, 2023 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 16, 2023 Accepting new patients
Lovelace Health System, LLC Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients
Lovelace Health System, LLC Past Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

2701 Chester Ave
Ste 101
Bakersfield, CA 93301
Phone (661) 716-9400

2701 Chester Ave
Ste 201
Bakersfield, CA 93301
Phone (661) 716-1070

1111 Columbus St
Bakersfield, CA 93305
Phone (661) 326-5052

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1801045513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "415-600-1000",
            "fax_number": "415-558-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VAN NESS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096978",
            "telephone_number": "415-600-1000",
            "fax_number": "415-558-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTAGI",
        "first_name": "TARUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "9622696",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "MD2016-0322",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "9622696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "C177126",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.