Organization Active NPI

William K. Ebert, M.D.

  • Family Medicine Physician
  • Atascadero, CA
National Provider Identifier
1649478223
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G77739 Issued in CA
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William K Ebert, M.D.NPI 1982609848
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00G777390MedicaidCA

Other names 1

  • North County Family Care Other name

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": "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.

Verify at the official NPI Registry.