Search › California › 225100000X
Derek Rustich, DPT
NPI 1972224673 · on the registry since 2022
Practice
- Address
- 13220 Evening Creek Dr S Ste 109
San Diego, CA 92128 - Phone
- (619) 510-5000
- Fax
- (619) 303-4230
- Organisation at this address
- Real World Enterprises
Modernhealth Holdings IncInferred from a shared address, not stated in the registry.
Additional practice sites
- 8380 Center Dr Ste C, La Mesa, CA
- 8290 Vickers St Ste C, San Diego, CA
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California