NPIMap

Individual provider Active NPI

Barbara Licht Korthamar, MD

  • Pediatrics Physician
  • Santa Clara, CA
National Provider Identifier
1447260096
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A30788 Issued in CA
Practice address
1280 Scott Blvd
Suite a
Santa Clara, CA 95050-4500
Phone
(408) 248-2035
Fax
(408) 244-7853
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A30788 CA Primary

Addresses

Primary practice location

1280 Scott Blvd
Suite a
Santa Clara, CA 95050-4500

Mailing address

1280 Scott Blvd
Suite a
Santa Clara, CA 95050-4500
Phone (408) 248-2035

Other identifiers 1

IdentifierTypeStateIssuer
03078800MedicaidCA

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A30788CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Past Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447260096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 SCOTT BLVD",
            "address_2": "SUITE A",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504500",
            "telephone_number": "408-248-2035",
            "fax_number": "408-244-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 SCOTT BLVD",
            "address_2": "SUITE A",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504500",
            "telephone_number": "408-248-2035",
            "fax_number": "408-244-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTHAMAR",
        "first_name": "BARBARA",
        "middle_name": "LICHT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A30788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03078800",
            "state": "CA"
        }
    ],
    "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 Jul 8, 2007; 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.