Active NPI
R Laurence Berkowitz MD Inc
- Specialist
- Campbell, CA
National Provider Identifier
1497062608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- R LAURENCE BERKOWITZ MD INC
- Practice address
- 3803 S Bascom Ave
Suite 100
Campbell, CA 95008-7317 - Phone
- (408) 559-7177
- Fax
- (408) 559-7199
- NPI assigned
- Sep 9, 2010
- 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
- R Laurence Berkowitz, MD
- Title
- Owner
- Phone
- (408) 559-7177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
3803 S Bascom Ave
Suite 100
Campbell, CA 95008-7317
Mailing address
3803 S Bascom Ave
Suite 100
Campbell, CA 95008-7317
Phone (408) 559-7177
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283990400000",
"number": "1497062608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3803 S BASCOM AVE",
"address_2": "SUITE 100",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950087317",
"telephone_number": "408-559-7177",
"fax_number": "408-559-7199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3803 S BASCOM AVE",
"address_2": "SUITE 100",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950087317",
"telephone_number": "408-559-7177",
"fax_number": "408-559-7199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R LAURENCE BERKOWITZ MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-09",
"last_updated": "2010-09-09",
"status": "A",
"authorized_official_last_name": "BERKOWITZ",
"authorized_official_first_name": "R",
"authorized_official_middle_name": "LAURENCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-559-7177",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.