Active NPI
Michael S Oholleran
- Surgery Physician
- Redwood City, CA
National Provider Identifier
1003916321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G394880
- Practice address
- 290 Redwood Shores Pkwy
Redwood City, CA 94065-1173 - Phone
- (650) 853-2135
- NPI assigned
- Sep 25, 2006
- Last updated
- Mar 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G394880 | CA | Primary |
Addresses
Primary practice location
290 Redwood Shores Pkwy
Redwood City, CA 94065-1173
Mailing address
2350 W. El Camino Real
Mountain View, CA 94040-6203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G394880 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1003916321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 W. EL CAMINO REAL",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940406203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 REDWOOD SHORES PKWY",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940651173",
"telephone_number": "650-853-2135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHOLLERAN",
"first_name": "MICHAEL",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G394880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.