Kirk a Churukian M D P S C

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G61482 Issued in CA

Legal business name

KIRK A CHURUKIAN M D P S C

Practice address

14830 Los Gatos Blvd Ste 300
Los Gatos, CA 95032-2053

Phone

(408) 358-7000

Fax

(408) 358-7005

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Kirk A Churukian, M D P S CNPI 1780715409

Title

President

Phone

(408) 358-7000

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirk Anthony Churukian, MD

  • Plastic Surgery Physician
  • Palo Alto, CA
  • NPI 1780715409
  Medicare reassignment NPD Authorized official
• David Rodolfo Soto, MD

  • Vascular & Interventional Radiology Physician
  • Hayward, CA
  • NPI 1386885382
  Medicare reassignment NPD

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1184823205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14830 LOS GATOS BLVD STE 300",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322053",
            "telephone_number": "408-358-7000",
            "fax_number": "408-358-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14830 LOS GATOS BLVD STE 300",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322053",
            "telephone_number": "408-358-7000",
            "fax_number": "408-358-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK A CHURUKIAN M D P S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "CHURUKIAN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-358-7000",
        "authorized_official_credential": "M D P S C"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G61482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KAC@DRCHURUKIAN.COM",
            "affiliation": "N",
            "address_1": "14830 Los Gatos Blvd Ste 300",
            "city": "Los Gatos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950322053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David H.C. King, M.D.
• Jaclyn Kingman, M.S.W
• Joshua V Kingrey, DPT
• Mark Blaine Kingsbury, D.C.
• Winsor Kinkade, LCSW
• Kathleen Kirmil-Gray, PH.D.
• Anna Kitajewski, OTR, CHT
• Ronald G Kite, M.D.
• Donna Lynn Kleiman, P.T.A.
• Adam Kleinberg, DC

• Plastic Surgery Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.