Organization Active NPI

Jenna Arruda, M.D., a Professional Corporation

  • Clinic/Center
  • Los Altos, CA
National Provider Identifier
1689428518
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Jenna Arruda, MD MPH CLCNPI 1598159006
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.