DR. STACY RUSTICO M.D.
NPI 1942461512
Pediatrics - Pediatric Endocrinology in San Diego, CA

Q: What is Stacy Rustico's NPI number?

The NPI number for Stacy Rustico is 1942461512. It was assigned to this individual provider in the NPPES registry on June 17, 2008. The provider is also known as Dr. Stacy Dodt M.D..

Q: What is Stacy Rustico's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Rustico was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since June 17, 2008

34520 BOB WILSON DRIVE NAVAL MEDICAL CENTER SAN DIEGO, SAN DIEGO, CA 92134(619) 881-9165(619) 532-9184 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2024, Mar 18, 2021, Feb 25, 2021 (3 updates tracked since 2021).

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About Dr. Stacy Rustico M.d. NPPES

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

DR. STACY RUSTICO M.D. (NPI 1942461512) is an individual pediatric endocrinology provider in San Diego, California, licensed in California (A111715) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1942461512

Entity TypeIndividualFemale

Primary Taxonomy2080P0205X

Provider Legal NameDR. STACY RUSTICOCredential: M.D.

Location Address34520 BOB WILSON DRIVE NAVAL MEDICAL CENTER SAN DIEGOSan Diego, CA 92134-0001

Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-2098 · (619) 881-9165 · Fax (619) 532-9184

Phone(619) 881-9165

Fax(619) 532-9184

Sole ProprietorNo

Enumeration DateJune 17, 2008

Last NPPES UpdateAugust 9, 20243 updates tracked since enumeration

NPPES CertifiedAugust 9, 2024

✔ NPI 1942461512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in CA · A111715

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Also ListedPediatricsTaxonomy 208000000X · License A111715 (CA)

34520 BOB WILSON DRIVE NAVAL MEDICAL CENTER SAN DIEGO, San Diego, CA 92134

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Other Names 1

Former Name (1)Dr. Stacy Dodt M.d.

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 Stacy Rustico's NPI number?

The NPI number for Stacy Rustico is 1942461512. It was assigned to this individual provider in the NPPES registry on June 17, 2008. The provider is also known as Dr. Stacy Dodt M.D..

Where is Stacy Rustico located?

Stacy Rustico practices at 34520 Bob Wilson Drive Naval Medical Center San Diego, San Diego, CA 92134. The listed phone number is (619) 881-9165.

What is Stacy Rustico's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

When was this NPI record last updated?

The NPPES record for Stacy Rustico was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.