Organization Active NPI

Mountain View Medical Care, Inc.

Doing business as West and East Medical Care, Inc

  • Primary Care Clinic/Center
  • Los Altos, CA
National Provider Identifier
1225302540
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A72572 Issued in CA
Legal business name
MOUNTAIN VIEW MEDICAL CARE, INC.
Doing business as
West and East Medical Care, Inc
Practice address
4966 El Camino Real Ste 111
Los Altos, CA 94022-1406
Phone
(650) 224-5497
Fax
(866) 368-1227
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Dr. June Shao Withers, M.D.NPI 1932103843
Title
President
Phone
(650) 968-2389

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
Primary Care Clinic/Center 261QP2300X A72572 CA Primary

Addresses

Primary practice location

4966 El Camino Real Ste 111
Los Altos, CA 94022-1406

Mailing address

4966 El Camino Real Ste 111
Los Altos, CA 94022-1406
Phone (650) 224-5497

Other names 1

  • West and East Medical Care, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120521000593 CA Part B Supplier - Clinic/Group Practice 3476716903 Receives reassigned benefits from 1 practitioner
Practice locations: Los Altos, CA

National Provider Directory

National Provider Directory

Locations

4966 El Camino Real
Ste 111
Los Altos, CA 94022
Phone (650) 224-5497

4906 El Camino Real
Ste 2
Los Altos, CA 94022
Phone (650) 968-2389

495 Castro St
Ste 102
Mountain View, CA 94041

Practitioners & affiliated clinicians

Practitioners 1

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": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1225302540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4966 EL CAMINO REAL STE 111",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221406",
            "telephone_number": "650-224-5497",
            "fax_number": "866-368-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4966 EL CAMINO REAL STE 111",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221406",
            "telephone_number": "650-224-5497",
            "fax_number": "866-368-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW MEDICAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "WITHERS",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "SHAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-968-2389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A72572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West and East Medical Care, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.