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GARRETT RUPP
NPI 1447019039
Student in an Organized Health Care Education/Training Program in La Jolla, CA

Active since March 15, 2024PECOS Enrolled
9500 GILMAN DR, LA JOLLA, CA 92093(858) 534-2230 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Garrett Rupp NPPES

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

GARRETT RUPP (NPI 1447019039) is an individual student in an organized health care education/training program in La Jolla, California and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447019039
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGARRETT RUPP
Location Address9500 GILMAN DRLa Jolla, CA 92093-5004
Mailing Address9500 Gilman DrLa Jolla, CA 92093-5004 · (858) 534-2230
Phone(858) 534-2230
Sole ProprietorNo
Enumeration DateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1447019039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9500 GILMAN DR, La Jolla, CA 92093
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Garrett Rupp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. LEE LE WANG M.D.
Radiology (Diagnostic Radiology)
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (858) 534-3880
BONNIE SUSAN OMEARA NP
Nurse Practitioner (Adult Health)
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (858) 534-3300
ELKA RUBIN MD
Radiology (Diagnostic Radiology)
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (858) 534-2230
DR. ROBERT J PARMER M.D.
Internal Medicine
9500 GILMAN DR, MAIL CODE 9111-H
LA JOLLA, CA 92093
San Diego County (858) 552-8585
ANGELA R ACFALLE NP CNS
Nurse Practitioner (Adult Health)
9500 GILMAN DR, # 0039
LA JOLLA, CA 92093
San Diego County (858) 534-2918
BRITNIE PRIEST MAT, ATC, LAT
Specialist/Technologist (Athletic Trainer)
9500 GILMAN DR, MC0529
LA JOLLA, CA 92093
San Diego County (858) 822-6747
CHRISTOPHER MONGLIN LIU
Orthopaedic Surgery
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (571) 721-9812
GLORIA LIN
Student in an Organized Health Care Education/Training Program
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (858) 657-8803

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 Garrett Rupp's NPI number?

The NPI number for Garrett Rupp is 1447019039. It was assigned to this individual provider in the NPPES registry on March 15, 2024.

Where is Garrett Rupp located?

Garrett Rupp practices at 9500 Gilman Dr, La Jolla, CA 92093. The listed phone number is (858) 534-2230.

What is Garrett Rupp's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Garrett Rupp enrolled in Medicare?

Yes. Garrett Rupp is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Garrett Rupp was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.