Joanne Carruth

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

Practice address

1564 Miramonte Ave Ste a
Los Altos, CA 94024-6003

Phone

(650) 917-1771

Fax

(650) 917-1551

NPI assigned

Jul 22, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Siloette

  • Mastectomy Fitter
  • Los Altos, CA
  • NPI 1124813225
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1104654177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 MIRAMONTE AVE STE A",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246003",
            "telephone_number": "650-917-1771",
            "fax_number": "650-917-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 MIRAMONTE AVE STE A",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246003",
            "telephone_number": "650-917-1771",
            "fax_number": "650-917-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRUTH",
        "first_name": "JOANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cambridge Research International
• Camelot LLC (Camelot Center)
• Camino Medical Group
• Lilo Campeau, LMFT
• Karen Carrie, LMFT, LPCC
• Kathrine Lauren Casillas, MD
• Jack Castaldo, RPH
• Araceli Castillo-Sanchez, EDD
• Stephanie Ann Castro Hengstler, LMFT
• Catherine Athans - Marriage & Family Therapist a Professional Co

• Mastectomy Fitter in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Mastectomy Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.