Active NPI
Vanda Clarece McCauley, CERT HAIR LOSS SPEC.
- Prosthetics Case Management
- San Jose, CA
National Provider Identifier
1366813578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 5377 Glenburry Way
San Jose, CA 95123-1321 - Phone
- (408) 224-1224
- Fax
- (408) 224-1224
- NPI assigned
- Oct 14, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | CA | Primary |
Addresses
Primary practice location
5377 Glenburry Way
San Jose, CA 95123-1321
Mailing address
5377 Glenburry Way
San Jose, CA 95123-1321
Phone (408) 224-1224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1744P3200X | Other | CA | CERTIFIED HAIR LOSS SPECLIAST |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1366813578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5377 GLENBURRY WAY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231321",
"telephone_number": "408-224-1224",
"fax_number": "408-224-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5377 GLENBURRY WAY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231321",
"telephone_number": "408-224-1224",
"fax_number": "408-224-1224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAULEY",
"first_name": "VANDA",
"middle_name": "CLARECE",
"credential": "CERT HAIR LOSS SPEC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-14",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED HAIR LOSS SPECLIAST",
"identifier": "1744P3200X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.