Active NPI
J Richelcyn Baclay Oo, MD
- Student in an Organized Health Care Education/Training Program
- Palo Alto, CA
National Provider Identifier
1134867427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- CJ Huang Building
780 Welch Road, 3Rd Floor
Palo Alto, CA 94304 - Phone
- (650) 498-7387
- NPI assigned
- May 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
CJ Huang Building
780 Welch Road, 3Rd Floor
Palo Alto, CA 94304
Mailing address
CJ Huang Building
780 Welch Road, 3Rd Floor
Palo Alto, CA 94304
Phone (650) 498-7387
Other names 1
- J Richelcyn Montero Baclay
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1134867427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CJ HUANG BUILDING",
"address_2": "780 WELCH ROAD, 3RD FLOOR",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94304",
"telephone_number": "650-498-7387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CJ HUANG BUILDING",
"address_2": "780 WELCH ROAD, 3RD FLOOR",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94304",
"telephone_number": "650-498-7387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OO",
"first_name": "J RICHELCYN",
"middle_name": "BACLAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2022-05-25",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "J RICHELCYN",
"last_name": "BACLAY",
"middle_name": "MONTERO",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.