Active NPI
Marie Anson-Rebong
- Primary Care Clinic/Center
- San Jose, CA
National Provider Identifier
1528406287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A45814
- Legal business name
- MARIE ANSON-REBONG
- Practice address
- 2350 McKee Rd
Suite 1
San Jose, CA 95116-1606 - Phone
- (408) 729-3232
- Fax
- (408) 729-3232
- NPI assigned
- Jun 4, 2013
- 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
- Marie Anson-Rebong, MD
- Title
- Owner
- Phone
- (408) 729-3232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | A45814 | CA | Primary |
Addresses
Primary practice location
2350 McKee Rd
Suite 1
San Jose, CA 95116-1606
Mailing address
2350 McKee Rd
Suite 1
San Jose, CA 95116-1606
Phone (408) 729-3232
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414627200000",
"number": "1528406287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 MCKEE RD",
"address_2": "SUITE 1",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161606",
"telephone_number": "408-729-3232",
"fax_number": "408-729-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 MCKEE RD",
"address_2": "SUITE 1",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161606",
"telephone_number": "408-729-3232",
"fax_number": "408-729-3232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIE ANSON-REBONG",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-04",
"last_updated": "2014-10-30",
"status": "A",
"authorized_official_last_name": "ANSON-REBONG",
"authorized_official_first_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-729-3232",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "A45814",
"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 Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.