Todd A Kruse, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A24263 Issued in CA

Practice address

3415 S Sepulveda Blvd Ste 1250
Los Angeles, CA 90034-6292

Phone

(844) 676-1037

Fax

(833) 664-4548

NPI assigned

Jun 5, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 12

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

77.59 of 100Reported as group

Quality

47.51

Promoting interoperability

69

Improvement activities

40

Cost

86.96

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tuba City Regional Health Care Corporation

  • General Acute Care Hospital
  • Tuba City, AZ
  • NPI 1548294424

  Family Medicine, TX

  Medicare reassignment NPD
• Tuba City Regional Health Care Corporation

  • Family Medicine Physician
  • Cameron, AZ
  • NPI 1134382211
  NPD
• Tuba City Regional Health Care Corporation

  • Family Medicine Physician
  • Bodaway Gap, AZ
  • NPI 1710519913
  NPD

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1881186773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 DEMPSTER ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 S SEPULVEDA BLVD STE 1250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346292",
            "telephone_number": "844-676-1037",
            "fax_number": "833-664-4548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 600",
            "address_purpose": "LOCATION",
            "city": "Tuba City",
            "state": "AZ",
            "postal_code": "860450600",
            "country_code": "US",
            "telephone_number": "928-283-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 High St Ste 4001",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177013111",
            "country_code": "US",
            "telephone_number": "272-289-6397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8888 Keystone Crossing Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46240",
            "country_code": "US",
            "telephone_number": "844-676-1037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5004 Sunset Fairways Dr",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275407829",
            "country_code": "US",
            "telephone_number": "844-676-1037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "342 N Water St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532025715",
            "country_code": "US",
            "telephone_number": "844-676-1037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Wolf Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622262314",
            "country_code": "US",
            "telephone_number": "844-676-1037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Wakarusa Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660494722",
            "country_code": "US",
            "telephone_number": "844-676-1037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 S Main St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841012185",
            "country_code": "US",
            "telephone_number": "844-676-1037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2414 N Mutter St Unit 2",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191333805",
            "country_code": "US",
            "telephone_number": "844-676-1037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 E Capitol St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392013405",
            "country_code": "US",
            "telephone_number": "844-676-1037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 W Union Hills Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850275187",
            "country_code": "US",
            "telephone_number": "844-676-1037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "TODD",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.172794",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-50903",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "009149",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02008364A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "14215278-1234",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "13089-321",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS024759",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "01760",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IL",
            "license": "336.128366",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "UT",
            "license": "12415278-8904",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MS",
            "license": "35040",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A24263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200019511",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline McNally Kruse, RN
• Jennifer Lynn Kruse, M.D.
• Jesse John Kruse
• Laurelin Kruse
• Perri Alexandra Kruse
• David Kruskall
• Ira Kruskol, LCSW
• Kendall Lee Kruszewski, MD
• Talia Krygier
• Robyn C Krysiak, WHNP-BC, FNP-C

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.