NPIMap

Organization Active NPI

Sud Specialty Group - Ca

Doing business as Rula Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
National Provider Identifier
1972138238
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
SUD SPECIALTY GROUP - CA
Doing business as
Rula Health
Practice address
4633 Old Ironsides Dr Ste 304
Santa Clara, CA 95054-1846
Phone
(323) 205-7088
Fax
(866) 277-9071
NPI assigned
Mar 6, 2020
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Justin Brooks
Title
Authorized Agent
Phone
(323) 205-7088

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Addiction (Substance Use Disorder) Psychologist 103TA0400X
Cognitive & Behavioral Psychologist 103TB0200X
Counseling Psychologist 103TC1900X
Clinical Social Worker 1041C0700X
Marriage & Family Therapist 106H00000X
Addiction Medicine (Family Medicine) Physician 207QA0401X
Addiction Medicine (Internal Medicine) Physician 207RA0401X
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X Primary
Psychiatry Physician 2084P0800X
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

4633 Old Ironsides Dr Ste 304
Santa Clara, CA 95054-1846

Mailing address

PO Box 746877
Atlanta, GA 30374-6877
Phone (323) 205-7088

Other practice location 1

5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Phone (323) 205-7088

Other names 1

  • Rula Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230412001370 CA Part B Supplier - Clinic/Group Practice 9537534177 Receives reassigned benefits from 1,461 practitioners
Practice locations: Santa Clara, CA; Santa Monica, CA

National Provider Directory

National Provider Directory

Locations

312 Arizona Ave
Santa Monica, CA 90401
Phone (562) 277-1343

520 Broadway
Fl 2
Santa Monica, CA 90401

Practitioners & affiliated clinicians

Practitioners 1,486

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,486

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1972138238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746877",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746877",
            "telephone_number": "323-205-7088",
            "fax_number": "866-277-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 OLD IRONSIDES DR STE 304",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541846",
            "telephone_number": "323-205-7088",
            "fax_number": "866-277-9071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Great America Pkwy Ste 320",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950541140",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUD SPECIALTY GROUP - CA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "323-205-7088"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rula Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.