Active NPI
Rhonda Staton
- Social Worker
- San Jose, CA
National Provider Identifier
1467626101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33975
- Practice address
- 80 Great Oaks Blvd # 180D
San Jose, CA 95119-1310 - Phone
- (408) 363-3062
- NPI assigned
- Apr 14, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 33975 | CA | Primary |
Addresses
Primary practice location
80 Great Oaks Blvd # 180D
San Jose, CA 95119-1310
Mailing address
80 Great Oaks Blvd # 180D
San Jose, CA 95119-1310
Phone (408) 363-3062
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33975 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1467626101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 GREAT OAKS BLVD # 180D",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191310",
"telephone_number": "408-363-3062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 GREAT OAKS BLVD # 180D",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191310",
"telephone_number": "408-363-3062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATON",
"first_name": "RHONDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-14",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "33975",
"primary": true
}
],
"identifiers": [],
"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 Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.