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JUSTIN ALLEN RUCKER
NPI 1114641495
Peer Specialist in San Diego, CA

Active since September 29, 2022
409 CAMINO DEL RIO S, SAN DIEGO, CA 92108(619) 381-7748 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin Allen Rucker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN ALLEN RUCKER (NPI 1114641495) is an individual peer specialist in San Diego, California and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1114641495
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJUSTIN ALLEN RUCKER
Location Address409 CAMINO DEL RIO SSan Diego, CA 92108-3504
Mailing Address409 Camino Del Rio SSan Diego, CA 92108-3504 · (619) 381-7748
Phone(619) 381-7748
Sole ProprietorYes
Enumeration DateSeptember 29, 2022
NPPES CertifiedSeptember 29, 2022
✔ NPI 1114641495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
409 CAMINO DEL RIO S, San Diego, CA 92108
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZAKEE A KHABEER
Case Manager/Care Coordinator
409 CAMINO DEL RIO S, SUITE 201
SAN DIEGO, CA 92108
San Diego County (619) 346-4020
MR. BRANDON BRIDGEMAN LMFT
Marriage & Family Therapist
409 CAMINO DEL RIO S, SUITE 201
SAN DIEGO, CA 92108
San Diego County (619) 346-4020
FERTILE TURTLE ACUPUNCTURE INC
Acupuncturist
409 CAMINO DEL RIO S, SUITE 110
SAN DIEGO, CA 92108
San Diego County (619) 980-4631
ELISE VALENTINE LARSEN
Peer Specialist
409 CAMINO DEL RIO S, STE 201
SAN DIEGO, CA 92108
San Diego County (619) 381-7748
EMILY DAVIS
Counselor (Professional)
409 CAMINO DEL RIO S
SAN DIEGO, CA 92108
San Diego County (619) 578-4144
FRANCISCA CURIEL HERNANDEZ
Peer Specialist
409 CAMINO DEL RIO S
SAN DIEGO, CA 92108
San Diego County (619) 346-4020
SAMANTHA SABOL LPCC
Counselor (Professional)
409 CAMINO DEL RIO S, STE 201
SAN DIEGO, CA 92108
San Diego County (619) 339-7556
KYLE JEFFREY WILLIAMS
Peer Specialist
409 CAMINO DEL RIO S
SAN DIEGO, CA 92108
San Diego County (619) 346-4020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Rucker's NPI number?

The NPI number for Justin Rucker is 1114641495. It was assigned to this individual provider in the NPPES registry on September 29, 2022.

Where is Justin Rucker located?

Justin Rucker practices at 409 Camino Del Rio S, San Diego, CA 92108. The listed phone number is (619) 381-7748.

What is Justin Rucker's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Justin Rucker was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.