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HALEY RUSTH
NPI 1730992942
Rehabilitation Practitioner in San Andreas, CA

Active since January 30, 2025
564 MOUNTAIN RANCH RD # 5, SAN ANDREAS, CA 95249(209) 498-2227 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Haley Rusth NPPES

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

HALEY RUSTH (NPI 1730992942) is an individual rehabilitation practitioner in San Andreas, California and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1730992942
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameHALEY RUSTH
Location Address564 MOUNTAIN RANCH RD # 5San Andreas, CA 95249-9782
Mailing AddressPo Box 1629San Andreas, CA 95249-1629
Phone(209) 498-2227
Sole ProprietorNo
Enumeration DateJanuary 30, 2025
Last NPPES UpdateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
✔ NPI 1730992942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
564 MOUNTAIN RANCH RD # 5, San Andreas, CA 95249
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Other Providers at the Same Location NPPES 3

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

CARLA R O'DELL
Case Manager/Care Coordinator
564 MOUNTAIN RANCH RD # 5
SAN ANDREAS, CA 95249
Calaveras County (209) 498-2227
REA CARROLL
Marriage & Family Therapist
564 MOUNTAIN RANCH RD # 5
SAN ANDREAS, CA 95249
Calaveras County (209) 498-2227
CHRISTINE JAN KHAN
Social Worker (Clinical)
564 MOUNTAIN RANCH RD # 5
SAN ANDREAS, CA 95249
Calaveras County (209) 498-2227

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 Haley Rusth's NPI number?

The NPI number for Haley Rusth is 1730992942. It was assigned to this individual provider in the NPPES registry on January 30, 2025.

Where is Haley Rusth located?

Haley Rusth practices at 564 Mountain Ranch Rd # 5, San Andreas, CA 95249. The listed phone number is (209) 498-2227.

What is Haley Rusth's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Haley Rusth was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.