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JUAN CARLOS TUD CLS CCP NPI 1265900609


NPI Information

NPI: 1265900609
Provider Name: JUAN CARLOS TUD, CLS, CCP
Classification: Perfusionist - 242T00000X
Entity Type: Individual
Address:
250 FERNANDO AVE
PALO ALTO, CA
ZIP 94306
Phone: (515) 865-5471
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Juan Carlos Tud, CLS, CCP is a perfusionist in Palo Alto, CA. The provider is a perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. Juan Carlos Tud, CLS, CCP NPI is 1265900609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

250 FERNANDO AVE
PALO ALTO, CA
ZIP 94306-814
Phone: (515) 865-5471

The enumeration date for this NPI number is 11/4/2018 and was last updated on 11/4/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1242T00000XPerfusionist999074CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1999074OTHERAMERICAN BOARD OF CARDIOVASCULAR PERFUSION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.