Augustin Rucobo

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95096279 Issued in CA

Practice address

3851 Rosecrans St
San Diego, CA 92110-3115

Phone

(619) 692-5565

NPI assigned

Jun 13, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1821581836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5066 MERRIMAC CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921171001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROSECRANS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103115",
            "telephone_number": "619-692-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCOBO",
        "first_name": "AUGUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "552937",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95096279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruchira Densert, M.D. Inc
• Cierra Rucker
• Elizabeth Ellen Rucker, PT
• Justin Allen Rucker
• Lindy D Rucks, D.D.S
• Neal Curtis Rudberg, LMFT
• Adam Rudd, M.D.
• Christopher David Rudd, DPT
• Elaina Llewellyn Rudd
• James Ruddy, NP

• Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.