Individual provider Active NPI

Patricia Esther Reber, DO

  • General Practice Physician
  • Los Altos, CA
National Provider Identifier
1356555981
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A9688 Issued in CA
Practice address
745 Distel Dr
Suite 130
Los Altos, CA 94022-1532
Phone
(650) 482-9898
Fax
(650) 446-1039
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 20A9688 CA Primary

Addresses

Primary practice location

745 Distel Dr
Suite 130
Los Altos, CA 94022-1532

Mailing address

745 Distel Dr
Suite 130
Los Altos, CA 94022-1532
Phone (650) 482-9898

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)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356555981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 DISTEL DR",
            "address_2": "SUITE 130",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221532",
            "telephone_number": "650-482-9898",
            "fax_number": "650-446-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 DISTEL DR",
            "address_2": "SUITE 130",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221532",
            "telephone_number": "650-482-9898",
            "fax_number": "650-446-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBER",
        "first_name": "PATRICIA",
        "middle_name": "ESTHER",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A9688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 2023; 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.