Active NPI
University Healthcare Alliance
- Internal Medicine Physician
- Walnut Creek, CA
National Provider Identifier
1922470863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G00000
- Legal business name
- UNIVERSITY HEALTHCARE ALLIANCE
- Practice address
- 106 La Casa Via
Suite 260
Walnut Creek, CA 94598-3086 - Phone
- (510) 465-6700
- NPI assigned
- Oct 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristine Ruslen, CPC
- Title
- Director of Reimbursement
- Phone
- (510) 974-8297
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G00000 | CA | Primary |
Addresses
Primary practice location
106 La Casa Via
Suite 260
Walnut Creek, CA 94598-3086
Mailing address
106 La Casa Via
Suite 260
Walnut Creek, CA 94598-3086
Other names 1
- Associated Internal Medicine Medical Group
National Provider Directory
National Provider Directory- Tax ID family
- University Healthcare Alliance
Other organizations with this tax ID 25
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1504828800000",
"number": "1922470863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 LA CASA VIA",
"address_2": "SUITE 260",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 LA CASA VIA",
"address_2": "SUITE 260",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983086",
"telephone_number": "510-465-6700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY HEALTHCARE ALLIANCE",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-29",
"last_updated": "2017-09-08",
"status": "A",
"authorized_official_last_name": "RUSLEN",
"authorized_official_first_name": "KRISTINE",
"authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
"authorized_official_telephone_number": "510-974-8297",
"authorized_official_credential": "CPC"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "G00000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Associated Internal Medicine Medical Group",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.