Dr Ruckers Wellness Center Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

DR RUCKERS WELLNESS CENTER INC

Practice address

2305 W Midvalley Ave
Visalia, CA 93277-9455

Phone

(559) 635-1746

Fax

(559) 635-0493

NPI assigned

Dec 12, 2006

Last updated

Apr 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mylene Rucker

Title

Physician

Phone

(559) 635-1746

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1942361282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 W MIDVALLEY AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779455",
            "telephone_number": "559-635-1746",
            "fax_number": "559-635-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 W MIDVALLEY AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779455",
            "telephone_number": "559-635-1746",
            "fax_number": "559-635-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RUCKERS WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "MYLENE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "559-635-1746",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Downing
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• Dr Ruckers Wellness Center Inc
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• Irma Drew James
• Abigail Monzerrat Drost
• Cheryl L Duerksen, PHD

• Adult Medicine Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.