Active NPI
University Healthcare Alliance
- Family Medicine Physician
- Menlo Park, CA
National Provider Identifier
1245565357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- UNIVERSITY HEALTHCARE ALLIANCE
- Practice address
- 321 Middlefield Rd Ste 260
Menlo Park, CA 94025-4010 - Phone
- (650) 498-6500
- Fax
- (650) 322-1321
- NPI assigned
- Oct 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kristine Ruslen
- Title
- Director
- Phone
- (650) 498-6631
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| Family Medicine Physician | 207Q00000X | CA | Primary | |
| Gastroenterology Physician | 207RG0100X | CA | ||
| Obstetrics & Gynecology Physician | 207V00000X | CA | ||
| Otolaryngology Physician | 207Y00000X | CA |
Addresses
Primary practice location
321 Middlefield Rd Ste 260
Menlo Park, CA 94025-4010
Mailing address
321 Middlefield Rd
Menlo Park, CA 94025-3500
Phone (650) 498-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MMM00087M | Other | CA | MEDICARE GROUP NUMBER |
Other names 1
- MENLO MEDICAL CLINIC
National Provider Directory
National Provider DirectoryLocations
321 Middlefield Rd
Menlo Park, CA 94025
Phone (650) 497-8977
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1245565357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 MIDDLEFIELD RD",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940253500",
"telephone_number": "650-498-6500",
"fax_number": "650-322-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 MIDDLEFIELD RD STE 260",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254010",
"telephone_number": "650-498-6500",
"fax_number": "650-322-1321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY HEALTHCARE ALLIANCE",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-07",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "RUSLEN",
"authorized_official_first_name": "KRISTINE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "650-498-6631",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "MMM00087M",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MENLO MEDICAL CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.