Active NPI
Bernadette Macdonald
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Cupertino, CA
National Provider Identifier
1295237352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- License
- PT294489
- Practice address
- 10580 S de Anza Blvd
Cupertino, CA 95014-4450 - Phone
- (408) 366-1735
- NPI assigned
- Mar 5, 2018
- 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 |
|---|---|---|---|---|
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | PT294489 | CA | Primary |
Addresses
Primary practice location
10580 S de Anza Blvd
Cupertino, CA 95014-4450
Mailing address
1000 Kiely Blvd Apt 73
Santa Clara, CA 95051-4842
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT294489 | CA | MD | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1295237352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 KIELY BLVD APT 73",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950514842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10580 S DE ANZA BLVD",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950144450",
"telephone_number": "408-366-1735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "BERNADETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2081N0008X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": "CA",
"license": "PT294489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.