ALIX J PRUZANSKY MD
NPI 1588221485
Student in an Organized Health Care Education/Training Program in Santa Clara, CA

NPI Status: Active since May 26, 2019

Contact Information

710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA
ZIP 95051
Phone: (408) 851-3836

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  • Individual
  • Female
  • Years of Experience 8
  • Student in an Organized Health Care Educ...
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ALIX PRUZANSKY

This page provides the complete NPI Profile along with additional information for Alix Pruzansky, a primary care provider established in Santa Clara, California with a medical specialization in Student In An Organized Health Care Education/training Program and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1588221485 assigned on May 2019. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1588221485
Provider Name
ALIX J PRUZANSKY MD
Gender
Female
Entity Type
Individual
Location Address
710 LAWRENCE EXPY DEPT 384 SANTA CLARA, CA 95051
Location Phone
(408) 851-3836
Mailing Address
710 LAWRENCE EXPY DEPT 384 SANTA CLARA, CA 95051
Mailing Phone
(408) 851-3836
Medical School Name
OTHER
Graduation Year
2018
Is Sole Proprietor?
No
Enumeration Date
05-26-2019
Last Update Date
05-26-2019
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A primary care provider (PCP) like Alix Pruzansky sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Alix Pruzansky is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Alix Pruzansky is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9537577093

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230411002567

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for ALIX J PRUZANSKY MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588221485
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25168422416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 4 + 2 + 2 + 4 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1588221485 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457989782 CHRISTOPHER DOVE MD
Individual
Student in an Organized Health Care Education/Training Program710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(408) 851-3795
1164050324 JESSICA PUI WAH CHAU MD
Individual
Student in an Organized Health Care Education/Training Program710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(408) 851-1000
1902425861 JESSICA TANG
Individual
Student in an Organized Health Care Education/Training Program710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(408) 851-1000
1861091316 AKSHAY REDDY BOMMIREDDI
Individual
Student in an Organized Health Care Education/Training Program710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(408) 851-3795
1578140174 CHINMAYI ARYASOMAYAJULA MD
Individual
Student in an Organized Health Care Education/Training Program710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(408) 851-7300
1134374275DR. PETER K LEE D.O.
Individual
Internal Medicine710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(408) 851-7215
1184128589 NAVREEN PANDHER DO
Individual
Student in an Organized Health Care Education/Training Program710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(408) 709-6624
1316440142 HANK CRAIG DAVIS MD
Individual
Student in an Organized Health Care Education/Training Program710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(408) 851-3817
1629348685 JUSTIN JOSEPH JAGHAB M.D.
Individual
Internal Medicine710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(408) 231-2211
1336898444 KHANH PHUONG SIEU TONG
Individual
Student in an Organized Health Care Education/Training Program710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(206) 697-4998
1366183659 WILLIAM QIN DO, MS
Individual
Student in an Organized Health Care Education/Training Program710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(617) 633-5644
1740921550 APOORVA DHARMADHIKARI MD
Individual
Student in an Organized Health Care Education/Training Program710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(408) 851-3830
1689314700 ALEXANDER LOH
Individual
Student in an Organized Health Care Education/Training Program710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(805) 807-5491
1750022380 JACK STOVER MD
Individual
Student in an Organized Health Care Education/Training Program710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(408) 851-3830
1831830710DR. PAUL WILLIAM HORAK MD
Individual
Student in an Organized Health Care Education/Training Program710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(408) 851-3830
1740815109 LILI HOOSHIVAR DPM
Individual
Student in an Organized Health Care Education/Training Program710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(206) 697-4998
1285375980 ALEX IM MD
Individual
General Practice710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(408) 851-3795
1356970701 JEONG SOO PARK MD
Individual
Internal Medicine710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(408) 851-3817
1174150759 PHOEBE NGUYEN
Individual
Student in an Organized Health Care Education/Training Program710 LAWRENCE EXPY DEPT 384
SANTA CLARA, CA 95051
(408) 851-3817

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588221485, enumerated in the NPI registry as an "individual" on May 26, 2019

The provider is located at 710 Lawrence Expy Dept 384 Santa Clara, Ca 95051 and the phone number is (408) 851-3836

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 8 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on May 26, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.