Andrzej Jan Chruscinski, M.D., PH.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A79758 Issued in CA

Practice address

675 Sharon Park Dr Apt 104
Menlo Park, CA 94025-6907

Phone

(650) 387-8748

Fax

(650) 618-8744

NPI assigned

Apr 20, 2007

Sex

Male

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

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346467065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 SHARON PARK DR APT 104",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256907",
            "telephone_number": "650-387-8748",
            "fax_number": "650-618-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 SHARON PARK DR APT 104",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256907",
            "telephone_number": "650-387-8748",
            "fax_number": "650-618-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRUSCINSKI",
        "first_name": "ANDRZEJ",
        "middle_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Hope Chizen
• Sun Hae Choi, DMD
• Daisy M Choy, SPEECH-LANGUAGE PATH
• Lora Christen, PT
• Kamilee Willow Christenson, MD
• Helen Chu
• Kim Chu, PSY.D.
• Cindy Sun-Myung Chung, DDS
• Fiona Chung
• Riley Chycota

• Internal Medicine Physician in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.