Organization Active NPI

Michael N. Rutman, D.O., a Medical Corporation

  • Internal Medicine Physician
  • Vista, CA
National Provider Identifier
1871829606
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A4641 Issued in CA
Legal business name
MICHAEL N. RUTMAN, D.O., A MEDICAL CORPORATION
Doing business as
MICHAEL N. RUTMAN, D.O., A MEDICAL CORPORATION
Practice address
2355 S Melrose Dr
Vista, CA 92081-8788
Phone
(760) 598-0088
Fax
(760) 598-0078
NPI assigned
Oct 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Dr. Michael Neale Rutman, D.O.NPI 1245303122
Title
Physician
Phone
(760) 598-0088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 20A4641 CA Primary

Addresses

Primary practice location

2355 S Melrose Dr
Vista, CA 92081-8788

Mailing address

2355 S Melrose Dr
Vista, CA 92081-8788
Phone (760) 598-0088

Other names 1

  • MICHAEL N. RUTMAN, D.O., A MEDICAL CORPORATION Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100112000522 CA Part B Supplier - Clinic/Group Practice 0042351058 Receives reassigned benefits from 1 practitioner
Practice locations: Vista, CA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60370

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1871829606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 S MELROSE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920818788",
            "telephone_number": "760-598-0088",
            "fax_number": "760-598-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 S MELROSE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920818788",
            "telephone_number": "760-598-0088",
            "fax_number": "760-598-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL N. RUTMAN, D.O., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "RUTMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "NEALE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "760-598-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A4641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MICHAEL N. RUTMAN, D.O., A MEDICAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.