Individual provider Active NPI

Rebecca Lynne Wegley

  • Case Manager/Care Coordinator
  • Santa Clara, CA
National Provider Identifier
1417103516
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1608 Hope Dr
#214
Santa Clara, CA 95054-1726
Phone
(650) 399-5509
NPI assigned
Aug 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1608 Hope Dr
#214
Santa Clara, CA 95054-1726

Mailing address

206 S California Ave
C/O Momentum for Mental Health/la Selva Group
Palo Alto, CA 94306-1618
Phone (650) 617-8340

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": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1417103516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S CALIFORNIA AVE",
            "address_2": "C/O MOMENTUM FOR MENTAL HEALTH/LA SELVA GROUP",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061618",
            "telephone_number": "650-617-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 HOPE DR",
            "address_2": "#214",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541726",
            "telephone_number": "650-399-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGLEY",
        "first_name": "REBECCA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.