Organization Active NPI

Santa Clara Medical Clinic, P.C.

  • Family Medicine Physician
  • Eugene, OR
National Provider Identifier
1598878522
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SANTA CLARA MEDICAL CLINIC, P.C.
Practice address
217 Division Ave
Eugene, OR 97404-5429
Phone
(541) 688-3000
Fax
(541) 688-5368
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Dr. Theresa Lynn House, MD
Title
Physician/Secretary
Phone
(541) 688-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

217 Division Ave
Eugene, OR 97404-5429

Mailing address

217 Division Ave
Eugene, OR 97404-5429
Phone (541) 688-3000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1598878522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 DIVISION AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974045429",
            "telephone_number": "541-688-3000",
            "fax_number": "541-688-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 DIVISION AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974045429",
            "telephone_number": "541-688-3000",
            "fax_number": "541-688-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARA MEDICAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICIAN/SECRETARY",
        "authorized_official_telephone_number": "541-688-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.