NPIMap

Organization Active NPI

W. D. McCallum, M.D., Inc.

  • Maternal & Fetal Medicine Physician
  • Mountain View, CA
National Provider Identifier
1053592733
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
GR0104720 Issued in CA
Legal business name
W. D. MCCALLUM, M.D., INC.
Practice address
1580 W El Camino Real
Suite 1
Mountain View, CA 94040-2458
Phone
(650) 964-1505
Fax
(650) 964-1522
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Dr. William Desmond McCallum, M.D.NPI 1508978024
Title
President
Phone
(650) 964-1505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VM0101X GR0104720 CA Primary

Addresses

Primary practice location

1580 W El Camino Real
Suite 1
Mountain View, CA 94040-2458

Mailing address

1580 W El Camino Real
Suite 1
Mountain View, CA 94040-2458
Phone (650) 964-1505

Other identifiers 2

IdentifierTypeStateIssuer
00G212400MedicaidCA
00A305370MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1053592733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 W EL CAMINO REAL",
            "address_2": "SUITE 1",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402458",
            "telephone_number": "650-964-1505",
            "fax_number": "650-964-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 W EL CAMINO REAL",
            "address_2": "SUITE 1",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402458",
            "telephone_number": "650-964-1505",
            "fax_number": "650-964-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. D. MCCALLUM, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "MCCALLUM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DESMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-964-1505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "GR0104720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G212400",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A305370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.