Organization Active NPI

CMG Medicine PC

  • Medical Specialty Clinic/Center
  • Campbell, CA
National Provider Identifier
1033988308
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
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

Updated by the provider on Dec 27, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.