Active NPI
Healthtap Medical Group, PC
- General Practice Physician
- Portola Valley, CA
National Provider Identifier
1376136499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- HEALTHTAP MEDICAL GROUP, PC
- Practice address
- 4370 Alpine Road
Ste 206
Portola Valley, CA 94028-7953 - Phone
- (650) 268-9806
- NPI assigned
- Feb 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Nichols, JD
- Title
- Assistant Secretary
- Phone
- (650) 268-9806
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
4370 Alpine Road
Ste 206
Portola Valley, CA 94028-7953
Mailing address
209 E Java Dr
Unit 61987
Sunnyvale, CA 94088-8020
Phone (650) 268-9806
National Provider Directory
National Provider DirectoryLocations
4370 Alpine Rd
Ste 206
Portola Valley, CA 94028
Phone (650) 268-9806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726444800000",
"number": "1376136499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 E JAVA DR",
"address_2": "UNIT 61987",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940888020",
"telephone_number": "650-268-9806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 ALPINE ROAD",
"address_2": "STE 206",
"city": "PORTOLA VALLEY",
"state": "CA",
"postal_code": "940287953",
"telephone_number": "650-268-9806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHTAP MEDICAL GROUP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-19",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "650-268-9806",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portola Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.