MRS. ISIS BURAKOM RUTLEDGE LMT
NPI 1235372020
Contractor in San Diego, CA

NPI Status: Active since April 09, 2009

Contact Information

4520 EXECUTIVE DR
STE 225
SAN DIEGO, CA
ZIP 92121
Phone: (619) 323-4089

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  • Individual
  • Female
  • Contractor

About ISIS RUTLEDGE

This page provides the complete NPI Profile along with additional information for Isis Rutledge, a provider established in San Diego, California with a medical specialization in Contractor. The healthcare provider is registered in the NPI registry with number 1235372020 assigned on April 2009. The practitioner's primary taxonomy code is 171W00000X with license number 68684 (CA). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1235372020
Provider Name
MRS. ISIS BURAKOM RUTLEDGE LMT
Gender
Female
Entity Type
Individual
Location Address
4520 EXECUTIVE DR STE 225 SAN DIEGO, CA 92121
Location Phone
(619) 323-4089
Mailing Address
1220 ROSECRANS ST #120 SAN DIEGO, CA 92106
Mailing Phone
(619) 323-4089
Is Sole Proprietor?
Yes
Enumeration Date
04-09-2009
Last Update Date
10-11-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Contractor

Taxonomy Code
171W00000X
Type
Other Service Providers
License No.
68684
License State
CA
Taxonomy Description
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1171W00000XOther Service Providers

Contractor

4969 (CO)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235372020
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226567404
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 6 + 7 + 4 + 0 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1235372020 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922026491 KATHRYN M AFFLECK PT
Individual
Physical Therapist4520 EXECUTIVE DR STE 101
SAN DIEGO, CA 92121
(858) 535-1894
1194743674 JOHN D ALEXANDER PT
Individual
Physical Therapist4520 EXECUTIVE DR STE 101
SAN DIEGO, CA 92121
(858) 535-1894
1174537559DR. ROBERT E KEARNEY MD
Individual
Surgery (Plastic and Reconstructive Surgery)4520 EXECUTIVE DR #150
SAN DIEGO, CA 92121
(858) 677-9352
1871605733ROBERT E KEARNEY MD INC
Organization
Specialist4520 EXECUTIVE DR SUITE 150
SAN DIEGO, CA 92121
(858) 677-9352
1982705893DR. MARIO N ALBERTI DDS
Individual
Dentist (General Practice)4520 EXECUTIVE DR SUITE 250
SAN DIEGO, CA 92121
(858) 623-9024
1073656997DR. ERNEST WONG DDS
Individual
Dentist4520 EXECUTIVE DR SUITE 200
SAN DIEGO, CA 92121
(858) 587-2828
1700030053MOTWANI LASIK INSTITUTE
Organization
Ophthalmology4520 EXECUTIVE DR SUITE #230
SAN DIEGO, CA 92121
(858) 554-0008
1306857255 LAURA G WHEELER
Individual
Nurse Practitioner (Pediatrics)4520 EXECUTIVE DR SUITE 350
SAN DIEGO, CA 92121
(858) 457-0030
1568887149DR. MANOJ MOTWANI M.D.
Individual
Ophthalmology4520 EXECUTIVE DR SUITE 230
SAN DIEGO, CA 92121
(858) 554-0008
1093143430ROYBAL MD CHEMICAL DEPENDENCE TREATMENT INC
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)4520 EXECUTIVE DR SUITE 225
SAN DIEGO, CA 92121
(858) 202-1822
1427420405MR. DARREL DYAS ATC, OTC
Individual
Specialist/Technologist (Athletic Trainer)4520 EXECUTIVE DR STE. PLZ. 1
SAN DIEGO, CA 92121
(844) 377-7678
1083072755 ADAM MOORE DPT
Individual
Physical Therapist4520 EXECUTIVE DR SUITE 101
SAN DIEGO, CA 92121
(858) 535-1894
1174977870 SUZANNE SMITH RD
Individual
Dietitian, Registered4520 EXECUTIVE DR SUITE PLAZA 1
SAN DIEGO, CA 92121
(619) 543-3133
1649901620 CELINE MARIE BYRNES FNP-C
Individual
Nurse Practitioner4520 EXECUTIVE DR
SAN DIEGO, CA 92121
(602) 909-3022
1639290075DR. FARID BRAD MOZAFFARI MD
Individual
Plastic Surgery4520 EXECUTIVE DR STE 105
SAN DIEGO, CA 92121
(858) 456-8484
1821630468F BRAD MOZAFFARI MD INC
Organization
Plastic Surgery4520 EXECUTIVE DR STE 105
SAN DIEGO, CA 92121
(858) 453-8484
1013015569DR. NAVEEN GUPTA MD
Individual
Internal Medicine (Critical Care Medicine)4520 EXECUTIVE DR
SAN DIEGO, CA 92121
(800) 926-8273
1396704698 PRAVEEN AKUTHOTA M.D.
Individual
Internal Medicine (Critical Care Medicine)4520 EXECUTIVE DR
SAN DIEGO, CA 92121
(800) 926-8273
1710182423DR. DANIEL RICHARD CROUCH MD
Individual
Internal Medicine (Critical Care Medicine)4520 EXECUTIVE DR
SAN DIEGO, CA 92121
(800) 926-8273
1992940969DR. JEREMY ELLIOT ORR M.D.
Individual
Internal Medicine (Critical Care Medicine)4520 EXECUTIVE DR
SAN DIEGO, CA 92121
(800) 926-8273

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235372020, enumerated in the NPI registry as an "individual" on April 09, 2009

The provider is located at 4520 Executive Dr Ste 225 San Diego, Ca 92121 and the phone number is (619) 323-4089

The provider's speciality is Contractor with taxonomy code 171W00000X

This NPI record was last updated on April 09, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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