DR. STACY RUSTICO M.D. NPI 1942461512

NPI Information

  • NPI: 1942461512
  • Provider Name: DR. STACY RUSTICO, M.D.
  • Classification: Pediatrics - 2080P0205X
  • Specialization: Pediatric Endocrinology
  • Entity Type: Individual
  • Address: 34520 BOB WILSON DRIVE NAVAL MEDICAL CENTER SAN DIEGO
    SAN DIEGO, CA
    ZIP 92134
  • Phone: (619) 881-9165

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NPI Details

DR. Stacy Rustico, M.D. is a pediatric endocrinology pediatrics in San Diego, CA. The provider is 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. DR. Stacy Rustico, M.D. NPI is 1942461512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

34520 BOB WILSON DRIVE NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA
ZIP 92134-001
Phone: (619) 881-9165
Fax: (619) 532-9184

The enumeration date for this NPI number is 6/17/2008 and was last updated on 8/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsA111715CALIFORNIANo
22080P0205XPediatricsPediatric EndocrinologyA111715CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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