Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stacy Rustico, MD

Individual provider Pediatrics Physician · NPI 1942461512

Dr. Stacy Rustico, MD is a Pediatrics Physician in San Diego, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

34520 Bob Wilson Drive Naval Medical Center San Diego
San Diego, CA 92134-0001
Phone: (619) 881-9165
Fax: (619) 532-9184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X · Licence A111715 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A111715 (CA)

Record details

NPI number1942461512
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2008
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

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