Organization Active NPI

Rialto Medical Group

  • Internal Medicine Physician
  • Los Altos, CA
National Provider Identifier
1568598282
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A70849 Issued in CA
Legal business name
RIALTO MEDICAL GROUP
Practice address
4546 El Camino Real
Ste B-7
Los Altos, CA 94022-1099
Phone
(650) 799-4659
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. Stepahnie A Higgins, M.D.
Title
President
Phone
(650) 799-4659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A70849 CA Primary

Addresses

Primary practice location

4546 El Camino Real
Ste B-7
Los Altos, CA 94022-1099

Mailing address

4546 El Camino Real
Ste B-7
Los Altos, CA 94022-1099
Phone (650) 799-4659

Other identifiers 1

IdentifierTypeStateIssuer
P00322599OtherCAMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1568598282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 EL CAMINO REAL",
            "address_2": "STE B-7",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221099",
            "telephone_number": "650-799-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 EL CAMINO REAL",
            "address_2": "STE B-7",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221099",
            "telephone_number": "650-799-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIALTO MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "STEPAHNIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-799-4659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00322599",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.