Individual provider Active NPI

Krista Lee Cerruti, D.C.

  • Chiropractor
  • Santa Cruz, CA
National Provider Identifier
1871724005
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-31247 Issued in CA
Practice address
526 Soquel Ave
Suite a
Santa Cruz, CA 95062-2321
Phone
(831) 247-4070
NPI assigned
Aug 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-31247 CA Primary

Addresses

Primary practice location

526 Soquel Ave
Suite a
Santa Cruz, CA 95062-2321

Mailing address

99 Hidden Dr
Scotts Valley, CA 95066-3615
Phone (831) 247-4070

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-31247CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1871724005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HIDDEN DR",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950663615",
            "telephone_number": "831-247-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 SOQUEL AVE",
            "address_2": "SUITE A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622321",
            "telephone_number": "831-247-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRUTI",
        "first_name": "KRISTA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-31247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.