Organization Active NPI

Harry Mittelman MD Apc

  • Plastic Surgery Physician
  • Los Altos, CA
National Provider Identifier
1093092785
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
C30674 Issued in CA
Legal business name
HARRY MITTELMAN MD APC
Practice address
810 Altos Oaks Dr
Los Altos, CA 94024-5403
Phone
(650) 941-8888
Fax
(650) 386-6800
NPI assigned
Nov 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Harry Mittelman, MD
Title
President
Phone
(650) 941-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X C30674 CA Primary

Addresses

Primary practice location

810 Altos Oaks Dr
Los Altos, CA 94024-5403

Mailing address

810 Altos Oaks Dr
Los Altos, CA 94024-5403
Phone (650) 941-8888

National Provider Directory

National Provider Directory
Tax ID family
Harry Mittelman MD a Prof Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

810 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 941-8888

Practitioners & affiliated clinicians

Practitioners 2

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": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1093092785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 ALTOS OAKS DR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245403",
            "telephone_number": "650-941-8888",
            "fax_number": "650-386-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 ALTOS OAKS DR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245403",
            "telephone_number": "650-941-8888",
            "fax_number": "650-386-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY MITTELMAN MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "MITTELMAN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-941-8888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "C30674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.