RUBEN CREW – NPI #1043153323
Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

RUBEN CREW is a military health care provider located in SAN DIEGO, CA. NPPES recently assigned the NPI number 1043153323 to RUBEN CREW on April 13, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 171000000X from the Health Care Provider Taxonomy code set, which is classified as Military Health Care Provider.

See the complete NPI profile for RUBEN CREW below.

NPI Profile for
RUBEN CREW

NPI Number
1043153323
Enumeration Date

(about 8 weeks ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RUBEN CREW
Primary location
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone: (360) 862-5014 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Apr 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
171000000X
- Military Health Care Provider (Primary)
CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.