Individual
DR. JON J RUSCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4500
(707) 521-4685
Mailing address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4500
(707) 544-4626
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A153171
CA
2084P0800X
Psychiatry Physician
Primary
P1137
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A153171
LICENSE
CA
01
—
CA898913
PTAN
CA
Enumeration date
11/21/2011
Last updated
04/30/2026
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