Organization Active NPI

Chris Threatt MD Inc

  • Urology Physician
  • Redwood City, CA
National Provider Identifier
1164820320
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A79072 Issued in CA
Legal business name
CHRIS THREATT MD INC
Doing business as
Sequoia Urology Center
Practice address
801 Brewster Ave Ste 240
Redwood City, CA 94063-1558
Phone
(650) 465-6038
Fax
(650) 362-9440
NPI assigned
Dec 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Jennifer Palomar
Title
Office Manager
Phone
(650) 207-1272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X A79072 CA Primary

Addresses

Primary practice location

801 Brewster Ave Ste 240
Redwood City, CA 94063-1558

Mailing address

570 El Camino Real # 150-446
Redwood City, CA 94063-1200
Phone (650) 465-6038

Other names 1

  • Sequoia Urology Center Doing business as

National Provider Directory

National Provider Directory

Locations

801 Brewster Ave
Ste 240
Redwood City, CA 94063
Phone (650) 365-9997

570 El Camino Real
#150446
Redwood City, CA 94063

1030 Commercial St
San Carlos, CA 94070

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1164820320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 EL CAMINO REAL # 150-446",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631200",
            "telephone_number": "650-465-6038",
            "fax_number": "650-362-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BREWSTER AVE STE 240",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631558",
            "telephone_number": "650-465-6038",
            "fax_number": "650-362-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS THREATT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "PALOMAR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "650-207-1272"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A79072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sequoia Urology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.