Organization Active NPI

David John Sugarman, M.D.Inc.

  • Nephrology Physician
  • Burlingame, CA
National Provider Identifier
1497915441
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A22822 Issued in CA
Legal business name
DAVID JOHN SUGARMAN, M.D.INC.
Practice address
1750 El Camino Real Ste 202
Burlingame, CA 94010-3214
Phone
(650) 697-3721
Fax
(650) 697-6105
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. David John Sugarman, M. D.
Title
Owner/President
Phone
(650) 697-3721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X A22822 CA Primary

Addresses

Primary practice location

1750 El Camino Real Ste 202
Burlingame, CA 94010-3214

Mailing address

1750 El Camino Real Ste 202
Burlingame, CA 94010-3214
Phone (650) 697-3721

Other identifiers 1

IdentifierTypeStateIssuer
00A228220MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1497915441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL STE 202",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103214",
            "telephone_number": "650-697-3721",
            "fax_number": "650-697-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL STE 202",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103214",
            "telephone_number": "650-697-3721",
            "fax_number": "650-697-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID JOHN SUGARMAN, M.D.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "SUGARMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "650-697-3721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A22822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A228220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.