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

Shasta Rose Ruckman

Individual provider Case Manager/Care Coordinator · NPI 1194655803

Shasta Rose Ruckman is a Case Manager/Care Coordinator in Diamond Springs, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

768 Pleasant Valley Rd
Diamond Springs, CA 95619-9260
Phone: (530) 621-6186
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (CA)

Record details

NPI number1194655803
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2026
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

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