Organization Active NPI

White Oak Medical Office Inc

  • Psychiatry Physician
  • Campbell, CA
National Provider Identifier
1003007188
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G072595 Issued in CA
Legal business name
WHITE OAK MEDICAL OFFICE INC
Practice address
51 E. Campbell Ave
Suite 170
Campbell, CA 95008
Phone
(408) 370-6147
Fax
(408) 370-6196
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Rebecca A Powers, M.D.
Title
President
Phone
(408) 370-6147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X G072595 CA Primary

Addresses

Primary practice location

51 E. Campbell Ave
Suite 170
Campbell, CA 95008

Mailing address

51 E. Campbell Ave
Suite 170
Campbell, CA 95008
Phone (408) 370-6147

National Provider Directory

National Provider Directory

Locations

51 E Campbell Ave
Ste 170
Campbell, CA 95008
Phone (408) 370-6147

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1003007188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E. CAMPBELL AVE",
            "address_2": "SUITE 170",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "95008",
            "telephone_number": "408-370-6147",
            "fax_number": "408-370-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E. CAMPBELL AVE",
            "address_2": "SUITE 170",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "95008",
            "telephone_number": "408-370-6147",
            "fax_number": "408-370-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK MEDICAL OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-370-6147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G072595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.