Organization Active NPI

Marie Anson-Rebong

  • Primary Care Clinic/Center
  • San Jose, CA
National Provider Identifier
1528406287
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A45814 Issued in CA
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

Updated by the provider on Oct 30, 2014

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.