Active NPI
Jenna Arruda, M.D., a Professional Corporation
- Clinic/Center
- Los Altos, CA
National Provider Identifier
1689428518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- JENNA ARRUDA, M.D., A PROFESSIONAL CORPORATION
- Practice address
- 164 Main St, Suite 212
Los Altos, CA 94022 - Phone
- (650) 383-7246
- Fax
- (650) 284-0336
- NPI assigned
- Apr 16, 2024
- 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
- Jenna Arruda, MD MPH CLC
- Title
- Owner
- Phone
- (401) 787-7491
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
164 Main St, Suite 212
Los Altos, CA 94022
Mailing address
171 Main St # 142
Los Altos, CA 94022-2912
Phone (401) 787-7491
National Provider Directory
National Provider DirectoryLocations
164 Main St
Ste 212
Los Altos, CA 94022
Phone (650) 383-7246
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Palo Alto, CA
- NPI 1598159006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713225600000",
"number": "1689428518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 MAIN ST # 142",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940222912",
"telephone_number": "401-787-7491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 MAIN ST, SUITE 212",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "94022",
"telephone_number": "650-383-7246",
"fax_number": "650-284-0336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNA ARRUDA, M.D., A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-03-18",
"status": "A",
"authorized_official_last_name": "ARRUDA",
"authorized_official_first_name": "JENNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "401-787-7491",
"authorized_official_credential": "MD MPH CLC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.