NPIMap

Organization Active NPI

Cep America - Auc, PC

  • General Practice Physician
  • San Jose, CA
National Provider Identifier
1619549342
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CEP AMERICA - AUC, PC
Practice address
4150 N 1St St
San Jose, CA 95134-1513
Phone
(669) 200-4558
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
David Birdsall, MDNPI 1164445615
Title
C.O.O
Phone
(510) 350-2638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4150 N 1St St
San Jose, CA 95134-1513

Mailing address

2100 Powell St Ste 400
Emeryville, CA 94608-1826
Phone (510) 350-2600

Other practice location 1

19600 Vallco Pkwy Ste 170
Cupertino, CA 95014-7136
Phone (650) 338-4776

Other practice location 2

1150 W El Camino Real
Mountain View, CA 94040-2518
Phone (650) 695-5008

Other practice location 3

625 Lincoln Ave
San Jose, CA 95126-3785
Phone (408) 871-5260

National Provider Directory

National Provider Directory
Tax ID family
Cep America - Auc PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1619549342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081826",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 N 1ST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951341513",
            "telephone_number": "669-200-4558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19600 Vallco Pkwy Ste 170",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950147136",
            "country_code": "US",
            "telephone_number": "650-338-4776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 W El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940402518",
            "country_code": "US",
            "telephone_number": "650-695-5008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951263785",
            "country_code": "US",
            "telephone_number": "408-871-5260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CEP AMERICA - AUC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "BIRDSALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "C.O.O",
        "authorized_official_telephone_number": "510-350-2638",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Jul 13, 2021; 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.