Organization Active NPI

John C Whitney MD, a Medical Corporation

  • Pediatrics Physician
  • Los Gatos, CA
National Provider Identifier
1730284092
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G73247 Issued in CA
Legal business name
JOHN C WHITNEY MD, A MEDICAL CORPORATION
Practice address
777 Knowles Dr Ste 3
Los Gatos, CA 95032-1417
Phone
(408) 379-6750
Fax
(408) 379-1133
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Dr. John C. Whitney, M.D.
Title
Owner
Phone
(408) 379-6750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X G73247 CA Primary

Addresses

Primary practice location

777 Knowles Dr Ste 3
Los Gatos, CA 95032-1417

Mailing address

777 Knowles Dr Ste 3
Los Gatos, CA 95032-1417
Phone (408) 379-6750

Other identifiers 2

IdentifierTypeStateIssuer
00G732470OtherCABLUE SHIELD
00G732471OtherCAMEDICAL

National Provider Directory

National Provider Directory

Locations

777 Knowles Dr
Ste 3
Los Gatos, CA 95032
Phone (408) 379-6750

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1730284092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 KNOWLES DR STE 3",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321417",
            "telephone_number": "408-379-6750",
            "fax_number": "408-379-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 KNOWLES DR STE 3",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321417",
            "telephone_number": "408-379-6750",
            "fax_number": "408-379-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C WHITNEY MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-379-6750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G73247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G732470",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00G732471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.