Active NPI
Masaaki Tsuruike, PHD, ATC
- Sports Medicine (Preventive Medicine) Physician
- San Jose, CA
National Provider Identifier
1306313085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Preventive Medicine) Physician
- License
- 029502557
- Practice address
- One Washington Square
San Jose, CA 95192-0054 - Phone
- (408) 924-3040
- NPI assigned
- Oct 31, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | 029502557 | TX | Primary |
Addresses
Primary practice location
One Washington Square
San Jose, CA 95192-0054
Mailing address
431 Northlake Dr Apt 58
San Jose, CA 95117-1385
Phone (408) 614-8046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029502557 | TX | MD | Sports Medicine (Preventive Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1306313085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 NORTHLAKE DR APT 58",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171385",
"telephone_number": "408-614-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE WASHINGTON SQUARE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951920054",
"telephone_number": "408-924-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSURUIKE",
"first_name": "MASAAKI",
"name_prefix": "Dr.",
"credential": "PHD, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-31",
"last_updated": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2083S0010X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Sports Medicine",
"state": "TX",
"license": "029502557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.