Individual provider Active NPI

David James Pizzuti, M.D.

  • Internal Medicine Physician
  • Menlo Park, CA
National Provider Identifier
1598017634
Registry record updated Oct 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G88102 Issued in CA
Practice address
470 Santa Rita Ave
Menlo Park, CA 94025-5828
Phone
(650) 269-7626
Fax
(650) 473-6902
NPI assigned
Oct 14, 2012
Last updated
Oct 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G88102 CA Primary
Internal Medicine Physician 207R00000X 25MA05404700 NJ
Internal Medicine Physician 207R00000X 152564 NY

Addresses

Primary practice location

470 Santa Rita Ave
Menlo Park, CA 94025-5828

Mailing address

470 Santa Rita Ave
Menlo Park, CA 94025-5828
Phone (650) 269-7626

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G88102CAMDInternal Medicine Physician
25MA05404700NJMDInternal Medicine Physician
152564NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1350172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350172800000",
    "number": "1598017634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SANTA RITA AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940255828",
            "telephone_number": "650-269-7626",
            "fax_number": "650-473-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SANTA RITA AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940255828",
            "telephone_number": "650-269-7626",
            "fax_number": "650-473-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZUTI",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-14",
        "last_updated": "2012-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G88102",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05404700",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "152564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2012; 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.