Individual provider Active NPI

Amber Tindall Rukaj, MFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1902952310
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT47649 Issued in CA
Practice address
200 W Arbor Dr
MC 8663
San Diego, CA 92103-9001
Phone
(619) 471-0696
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT47649 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
MC 8663
San Diego, CA 92103-9001

Mailing address

File 57326
Los Angeles, CA 90074-7326
Phone (858) 249-6748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT47649CAMDMarriage & Family Therapist
47649CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jan 1, 2024 Accepting new patients
Regents of the University of California CurrentSince Jan 1, 2024 Accepting new patients
Regents of the University of California Marriage & Family Therapist CurrentSince Jan 1, 2006 Accepting new patients

Locations

8910 Villa La Jolla Dr
Ste 200
La Jolla, CA 92037

9350 Campus Point Dr
La Jolla, CA 92037
Phone (858) 657-0583

8950 Villa La Jolla Dr
Ste C106
La Jolla, CA 92037

File 57326
Los Angeles, CA 90074

4168 Front St
San Diego, CA 92103
Phone (619) 471-0420

4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

200 W Arbor Dr
#8663
San Diego, CA 92103
Phone (619) 471-0696

350 Dickinson St
San Diego, CA 92103
Phone (619) 543-6635

4510 Executive Dr
Ste 315
San Diego, CA 92121
Phone (858) 534-8019

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1902952310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57326",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900747326",
            "telephone_number": "858-249-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "address_2": "MC 8663",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039001",
            "telephone_number": "619-471-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUKAJ",
        "first_name": "AMBER",
        "middle_name": "TINDALL",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT47649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.