Active NPI
William K. Ebert, M.D.
- Family Medicine Physician
- Atascadero, CA
National Provider Identifier
1649478223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G77739
- Legal business name
- WILLIAM K. EBERT, M.D.
- Practice address
- 7512 Morro Rd
Atascadero, CA 93422-4404 - Phone
- (805) 461-3344
- NPI assigned
- Jul 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William K Ebert, M.D.
- Title
- Owner
- Phone
- (805) 461-3344
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G77739 | CA | Primary |
Addresses
Primary practice location
7512 Morro Rd
Atascadero, CA 93422-4404
Mailing address
7512 Morro Rd
Atascadero, CA 93422-4404
Phone (805) 461-3344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G777390 | Medicaid | CA |
Other names 1
- North County Family Care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Santa Cruz, CA
- NPI 1982609848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649478223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7512 MORRO RD",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934224404",
"telephone_number": "805-461-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7512 MORRO RD",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934224404",
"telephone_number": "805-461-3344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM K. EBERT, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EBERT",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-461-3344",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "G77739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G777390",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North County Family Care",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.