Individual provider Active NPI

Viveka Sarah Rucker, L.AC.

  • Acupuncturist
  • Calabasas, CA
National Provider Identifier
1972632867
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
8942 Issued in CA
Practice address
24007 Ventura Blvd Ste 102
Calabasas, CA 91302-2549
Phone
(818) 554-5418
Fax
(818) 225-8597
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X 9004 CA
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X 6386 CA
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X 8942 CA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 9004 CA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 6386 CA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 8942 CA Primary

Addresses

Primary practice location

24007 Ventura Blvd Ste 102
Calabasas, CA 91302-2549

Mailing address

24007 Ventura Blvd Ste 102
Calabasas, CA 91302-2549
Phone (818) 554-5418

Other identifiers 1

IdentifierTypeStateIssuer
90-0126489OtherCATAX I.D.#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9004CAMDProfessional Counselor
6386CAMDRegistered Nurse
8942CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Compass Natural Health Center Nutrition, Education Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1972632867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24007 VENTURA BLVD STE 102",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022549",
            "telephone_number": "818-554-5418",
            "fax_number": "818-225-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24007 VENTURA BLVD STE 102",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022549",
            "telephone_number": "818-554-5418",
            "fax_number": "818-225-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "VIVEKA",
        "middle_name": "SARAH",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "9004",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "6386",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "8942",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "9004",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "6386",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "8942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX I.D.#",
            "identifier": "90-0126489",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.