Individual provider Active NPI

William Desmond McCallum, M.D.

  • Specialist
  • Mountain View, CA
National Provider Identifier
1508978024
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A30537 Issued in CA
Practice address
1580 W El Camino Real Ste 1
Mountain View, CA 94040-2461
Phone
(650) 964-1505
Fax
(650) 964-1522
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

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
Specialist 174400000X A30537 CA Primary

Addresses

Primary practice location

1580 W El Camino Real Ste 1
Mountain View, CA 94040-2461

Mailing address

1580 W El Camino Real Ste 1
Mountain View, CA 94040-2461
Phone (650) 964-1505

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A30537CAMDSpecialist
30537CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Yp Group, Inc Past Accepting new patients
W. D. McCallum, M.D., Inc. PastSince Jan 1, 1976 Accepting new patients

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508978024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 W EL CAMINO REAL STE 1",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402461",
            "telephone_number": "650-964-1505",
            "fax_number": "650-964-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 W EL CAMINO REAL STE 1",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402461",
            "telephone_number": "650-964-1505",
            "fax_number": "650-964-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLUM",
        "first_name": "WILLIAM",
        "middle_name": "DESMOND",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A30537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, 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.