Maryann Overton, CCP

Primary specialty

PerfusionistTaxonomy code 242T00000X

License

770067 Issued in CA

Practice address

10743 S Blaney Ave
Cupertino, CA 95014-4543

Phone

(408) 255-4018

Fax

(650) 615-9995

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003033549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10743 S BLANEY AVE",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950144543",
            "telephone_number": "408-255-4018",
            "fax_number": "650-615-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10743 S BLANEY AVE",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950144543",
            "telephone_number": "408-255-4018",
            "fax_number": "650-615-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERTON",
        "first_name": "MARYANN",
        "credential": "CCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "CA",
            "license": "770067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Miye Onoshi, CMT
• Ootech Inc.
• Oriental Wellness Medical Group Inc
• Rhona Schechter Ostrow, M.S.
• Meiling Ouyang, M.P.H., R.D.
• Daniel Michael Owens, D.C.
• Thomas Oyong, D.P.T.
• Alex E Pagonis, DDS
• Angelikki A Pagonis, D.D.S.
• Gary E Pagonis, DDS

• Perfusionist in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Perfusionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.