Individual provider Active NPI

Mary Rabitz, N.P.

  • Family Nurse Practitioner
  • Gilroy, CA
National Provider Identifier
1013101708
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
553650 Issued in CA
Practice address
7861 Murray Ave
Gilroy, CA 95020-4604
Phone
(408) 842-1017
Fax
(408) 842-4186
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 553650 CA Primary

Addresses

Primary practice location

7861 Murray Ave
Gilroy, CA 95020-4604

Mailing address

5671 Santa Teresa Blvd Ste 105
San Jose, CA 95123-6512
Phone (408) 284-2281

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
553650CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
School Health Clinics of Santa Clara County Past Accepting new patients
School Health Clinics of Santa Clara County Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mrabitz574700@direct.ochin.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1013101708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5671 SANTA TERESA BLVD STE 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951236512",
            "telephone_number": "408-284-2281",
            "fax_number": "408-281-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7861 MURRAY AVE",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204604",
            "telephone_number": "408-842-1017",
            "fax_number": "408-842-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABITZ",
        "first_name": "MARY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "553650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.