Active NPI
CMG Medicine PC
- Medical Specialty Clinic/Center
- Campbell, CA
National Provider Identifier
1033988308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- CMG MEDICINE PC
- Practice address
- 1350 Dell Ave Ste 103
Campbell, CA 95008-6619 - Phone
- (669) 946-0416
- NPI assigned
- Dec 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Knight
- Title
- Vice President
- Phone
- (669) 946-0416
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
1350 Dell Ave Ste 103
Campbell, CA 95008-6619
Mailing address
1350 Dell Ave Ste 103
Campbell, CA 95008-6619
Phone (669) 946-0416
National Provider Directory
National Provider DirectoryLocations
1350 Dell Ave
Ste 103
Campbell, CA 95008
Phone (408) 673-1711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703635200000",
"number": "1033988308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 DELL AVE STE 103",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950086619",
"telephone_number": "669-946-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 DELL AVE STE 103",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950086619",
"telephone_number": "669-946-0416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CMG MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-27",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A",
"authorized_official_last_name": "KNIGHT",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "669-946-0416"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbell, CA
- Colleen Clark-Tokoly, CMT
- Marcia Clark, MFT
- Mari Genni Pearl Clayton
- Kathlyn Clementelli, PH.D
- Skukura Clemons
- Jade G Cobos
- Jovanna Cobos
- Cognitive Behavior Therapy Center Adult & Counseling, Inc.
- Cognitive Behavioral Collective, a Professional Licensed Clinical Social Worker Corporation
- Danielle Cohen-Goodvoice, CFS I
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.