Hubert Lee Rucker Jr.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

2921 Split Mountain LN
San Bernardino, CA 92407-5190

Phone

(909) 730-7646

NPI assigned

Feb 17, 2019

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": "1550361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550361600000",
    "number": "1871059683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 SPLIT MOUNTAIN LN",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924075190",
            "telephone_number": "909-730-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 SPLIT MOUNTAIN LN",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924075190",
            "telephone_number": "909-730-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "HUBERT",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-17",
        "last_updated": "2019-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben Osorio, M.D. Inc
• Rita Rubin, RDN
• Isabel Rubio, LCSW
• Olivia Rubio
• Ulysses Rubio
• Nadia Rudenko, R.D.
• Rudolph Multi Specialty Medical Group
• Christina Nicole Rudolph
• Jaeden Marcus Rudulph
• Crystal Marie Ruedas

• Non-emergency Medical Transport (VAN) in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2019; 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.