Individual provider Active NPI

Jane A Roccosalva, OTC

  • Other Specialist/Technologist
  • Los Gatos, CA
National Provider Identifier
1326184300
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
0631 Issued in CA
Practice address
800 Pollard Rd Ste A6
Los Gatos, CA 95032-1432
Phone
(408) 871-7272
Fax
(408) 871-7268
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X 0631 CA Primary

Addresses

Primary practice location

800 Pollard Rd Ste A6
Los Gatos, CA 95032-1432

Mailing address

732 Pritchard CT
Santa Clara, CA 95051-5715
Phone (408) 871-7272

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

LicenseStateTypeSpecialty
0631CAMDOther Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne S. Chronister MD, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326184300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 PRITCHARD CT",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950515715",
            "telephone_number": "408-871-7272",
            "fax_number": "408-871-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 POLLARD RD STE A6",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321432",
            "telephone_number": "408-871-7272",
            "fax_number": "408-871-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCCOSALVA",
        "first_name": "JANE",
        "middle_name": "A",
        "credential": "OTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "CA",
            "license": "0631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.