Active NPI
Juste Ruzelyte
- Dentist
- Santa Ana, CA
National Provider Identifier
1952882573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 103108
- Practice address
- 3500 S Bristol St Ste 100
Santa Ana, CA 92704-7319 - Phone
- (714) 957-6030
- NPI assigned
- Aug 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 103108 | CA | Primary |
Addresses
Primary practice location
3500 S Bristol St Ste 100
Santa Ana, CA 92704-7319
Mailing address
32764 Ocean Vista CT
Dana Point, CA 92629-4003
Phone (949) 295-3119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181010000696 | CA | Order and Referring Only - Dentist | 7911259536 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juste Ruzelyte DDS PC | Current | Accepting new patients |
Locations
31991 Dove Canyon Dr
Ste 100B
Trabuco Canyon, CA 92679
Phone (949) 295-3119
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Trabuco Canyon, CA
- NPI 1245053610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1952882573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32764 OCEAN VISTA CT",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926294003",
"telephone_number": "949-295-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 S BRISTOL ST STE 100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927047319",
"telephone_number": "714-957-6030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUZELYTE",
"first_name": "JUSTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "103108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.