Organization Active NPI

Russell J. Andrews MD Professional Corporation

  • Neurological Surgery Physician
  • Los Gatos, CA
National Provider Identifier
1972710309
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G46747 Issued in CA
Legal business name
RUSSELL J. ANDREWS MD PROFESSIONAL CORPORATION
Practice address
244 Mistletoe Rd
Los Gatos, CA 95032-1610
Phone
(408) 829-1700
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Dr. Russell Joseph Andrews, MD
Title
President/Ceo
Phone
(408) 829-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X G46747 CA Primary

Addresses

Primary practice location

244 Mistletoe Rd
Los Gatos, CA 95032-1610

Mailing address

244 Mistletoe Rd
Los Gatos, CA 95032-1610
Phone (408) 829-1700

National Provider Directory

National Provider Directory

Locations

777 Knowles Dr
Ste 9
Los Gatos, CA 95032
Phone (408) 364-1673

Practitioners & affiliated clinicians

Practitioners 2

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1972710309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 MISTLETOE RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321610",
            "telephone_number": "408-829-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 MISTLETOE RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321610",
            "telephone_number": "408-829-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL J. ANDREWS MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "408-829-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G46747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.