Individual provider Active NPI

Teralyn Riggs Brusca, RN

  • Pediatric Registered Nurse
  • Riverside, CA
National Provider Identifier
1861652679
Registry record updated Jun 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
530001 Issued in CA
Practice address
5140 Hallwood Ave
Riverside, CA 92506-1412
Phone
(951) 686-6355
NPI assigned
Jun 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 530001 CA Primary

Addresses

Primary practice location

5140 Hallwood Ave
Riverside, CA 92506-1412

Mailing address

5140 Hallwood Ave
Riverside, CA 92506-1412
Phone (951) 686-6355

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
530001CAMDPediatric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213488000000",
    "number": "1861652679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 HALLWOOD AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061412",
            "telephone_number": "951-686-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 HALLWOOD AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061412",
            "telephone_number": "951-686-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSCA",
        "first_name": "TERALYN",
        "middle_name": "RIGGS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-15",
        "last_updated": "2008-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CA",
            "license": "530001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2008; 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.