Active NPI
William Perrine, MD
- Physical Medicine & Rehabilitation Physician
- Woodside, CA
National Provider Identifier
1265028708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- G54897
- Practice address
- 131 Eleanor Dr
Woodside, CA 94062-1113 - Phone
- (650) 780-0670
- NPI assigned
- Dec 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | G54897 | CA | Primary |
Addresses
Primary practice location
131 Eleanor Dr
Woodside, CA 94062-1113
Mailing address
131 Eleanor Dr
Woodside, CA 94062-1113
Phone (650) 780-0670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G54897 | Other | CA | STATE MEDICAL LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G54897 | CA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1265028708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 ELEANOR DR",
"city": "WOODSIDE",
"state": "CA",
"postal_code": "940621113",
"telephone_number": "650-780-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 ELEANOR DR",
"city": "WOODSIDE",
"state": "CA",
"postal_code": "940621113",
"telephone_number": "650-780-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRINE",
"first_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-18",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "G54897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "G54897",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.