Active NPI
William Desmond McCallum, M.D.
- Specialist
- Mountain View, CA
National Provider Identifier
1508978024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A30537
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A30537 | CA | MD | Specialist |
| 30537 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yp Group, Inc | Past | Accepting new patients | |
| W. D. McCallum, M.D., Inc. | Past | 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.
-
- Maternal & Fetal Medicine Physician
- Mountain View, CA
- NPI 1053592733
-
- Medical Specialty Clinic/Center
- Mountain View, CA
- NPI 1659827277
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.