OrganizationActive
Ruthiva LLC
NPI 1487945739 · Prosthetic/Orthotic Supplier · San Diego, CA
Provider details
- NPI number
- 1487945739
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jack Slagle, Managing Member(619) 241-4616
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10601 Tierrasanta Blvd
Ste G-188
San Diego, CA 92124-2616
Phone: (619) 241-4616
Fax: (858) 569-6917
Street-level locationGet directions
Mailing address
10601 Tierrasanta Blvd
San Diego, CA 92124-2616
Other names (DBA / former)
- Doing business as
- Wig Van
Registry dates
- Enumerated
- 2011-04-20
- Last updated
- 2011-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.