NPIMap

Organization Active NPI

St. Thomas Medical Clinic

  • Geriatric Medicine (Family Medicine) Physician
  • Santa Clara, CA
National Provider Identifier
1306005244
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
A13417 Issued in CA
Legal business name
ST. THOMAS MEDICAL CLINIC
Practice address
1470 Halford Ave
Santa Clara, CA 95051-3205
Phone
(408) 260-7575
Fax
(408) 556-6773
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Dr. John Cantwell, MD
Title
President
Phone
(408) 260-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X A13417 CA Primary

Addresses

Primary practice location

1470 Halford Ave
Santa Clara, CA 95051-3205

Mailing address

1470 Halford Ave
Santa Clara, CA 95051-3205
Phone (408) 260-7575

National Provider Directory

National Provider Directory

Locations

1470 Halford Ave
Santa Clara, CA 95051
Phone (408) 260-7575

Practitioners & affiliated clinicians

Practitioners 5

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": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1306005244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 HALFORD AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950513205",
            "telephone_number": "408-260-7575",
            "fax_number": "408-556-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 HALFORD AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950513205",
            "telephone_number": "408-260-7575",
            "fax_number": "408-556-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. THOMAS MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "CANTWELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-260-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A13417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.