Individual provider Active NPI

Eric A Windoffer, P.A.

  • Physician Assistant
  • E Palo Alto, CA
National Provider Identifier
1407800659
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14630 Issued in CA
Practice address
1950 University Ave
Suite 160
E Palo Alto, CA 94303-2285
Phone
(650) 617-8100
Fax
(650) 327-2947
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14630 CA Primary

Addresses

Primary practice location

1950 University Ave
Suite 160
E Palo Alto, CA 94303-2285

Mailing address

1950 University Ave
Suite 160
E Palo Alto, CA 94303-2285
Phone (650) 617-8100

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14630CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1407800659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 UNIVERSITY AVE",
            "address_2": "SUITE 160",
            "city": "E PALO ALTO",
            "state": "CA",
            "postal_code": "943032285",
            "telephone_number": "650-617-8100",
            "fax_number": "650-327-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 UNIVERSITY AVE",
            "address_2": "SUITE 160",
            "city": "E PALO ALTO",
            "state": "CA",
            "postal_code": "943032285",
            "telephone_number": "650-617-8100",
            "fax_number": "650-327-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDOFFER",
        "first_name": "ERIC",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in E Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.