STACY RUSTICO M.D. – NPI #1942461512
Pediatrics

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.

STACY RUSTICO is a physician located in SAN DIEGO, CA. NPPES has assigned the NPI number 1942461512 to STACY RUSTICO on June 17, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name STACY DODT. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0205X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Endocrinology

The NPI profile was last updated on Aug 09, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STACY RUSTICO below.

NPI Profile for
STACY RUSTICO

NPI Number
1942461512
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
STACY RUSTICO
Former Name: STACY DODT
Credentials
M.D.
Primary location
34520 BOB WILSON DRIVE NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA 92134-0001
Phone: (619) 881-9165 Fax: (619) 532-9184
Mailing address
34800 BOB WILSON DR
SAN DIEGO, CA 92134-2098
Phone: (619) 881-9165 Fax: (619) 532-9184
Sole Proprietor
No
Updated
Certification Date
Aug 09, 2024

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
2080P0205X
- Pediatrics / Pediatric Endocrinology (Primary)
CA A111715
208000000X
- Pediatrics
CA A111715

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.