Active NPI
Anne Marie Goris, M.D.
- Family Medicine Physician
- San Jose, CA
National Provider Identifier
1689697120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A030707
- Practice address
- 1333 Meridian Ave
San Jose, CA 95125-5212 - Phone
- (408) 445-3400
- Fax
- (408) 445-2060
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A030707 | CA | Primary |
Addresses
Primary practice location
1333 Meridian Ave
San Jose, CA 95125-5212
Mailing address
1455 Ormsby Dr
Sunnyvale, CA 94087-4246
Phone (408) 749-8062
Other names 1
- Dr. Anne Marie Verstraete
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
| License | State | Type | Specialty |
|---|---|---|---|
| A030707 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689697120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 ORMSBY DR",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940874246",
"telephone_number": "408-749-8062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 MERIDIAN AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255212",
"telephone_number": "408-445-3400",
"fax_number": "408-445-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORIS",
"first_name": "ANNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A030707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "VERSTRAETE",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.