Active NPI
Nancy Brock
- Special Hospital
- San Jose, CA
National Provider Identifier
1710169644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- License
- MFT 30800
- Practice address
- 845 Beaver Creek Way
San Jose, CA 95133-1204 - Phone
- (408) 923-6912
- NPI assigned
- Dec 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Special Hospital | 284300000X | MFT 30800 | CA | Primary |
Addresses
Primary practice location
845 Beaver Creek Way
San Jose, CA 95133-1204
Mailing address
845 Beaver Creek Way
San Jose, CA 95133-1204
Phone (408) 923-6912
Other names 1
- Nancy Danziger
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT 30800 | CA | MD | Special Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1710169644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 BEAVER CREEK WAY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951331204",
"telephone_number": "408-923-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 BEAVER CREEK WAY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951331204",
"telephone_number": "408-923-6912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "NANCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": "CA",
"license": "MFT 30800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "DANZIGER",
"credential": "MA",
"code": "1",
"type": "Former 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 Dec 3, 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.