K Andruska MD PHD PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

K ANDRUSKA MD PHD PC

Practice address

825 Pollard Rd Ste 100
Los Gatos, CA 95032-1435

Phone

(650) 484-0440

Fax

(650) 484-0668

NPI assigned

Mar 30, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kristin Andruska, MD, PHDNPI 1619263431

Title

President

Phone

(650) 484-0440

Specialties & licenses 1

Addresses

Other names 1

• California Movement Disorders Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Andruska, MD, PHD

  • Neurology Physician
  • Los Gatos, CA
  • NPI 1619263431
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1740868926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391344",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940391344",
            "telephone_number": "650-484-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 POLLARD RD STE 100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321435",
            "telephone_number": "650-484-0440",
            "fax_number": "650-484-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K ANDRUSKA MD PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "ANDRUSKA",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-484-0440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Movement Disorders Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "California Movement Disorders Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JSM Southbay, PC
• Isabel Juang
• Jeffrey C Juanlu, D.O.
• Shiwani Juneja, NP
• Dianne Jurgensen, D.C.
• Julia Sarah Kahan, M.D.
• Norman Joseph Kahan, M.D.
• Tejinder Mohan Kalra, M.D.
• Jasleen Kalsi
• Henry Kamali, MD

• Neurology Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.