Organization Active NPI

Northern California Primary Care

  • Internal Medicine Physician
  • Burlingame, CA
National Provider Identifier
1740399567
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTHERN CALIFORNIA PRIMARY CARE
Practice address
1860 El Camino Real Ste 321
Burlingame, CA 94010-3114
Phone
(650) 692-5760
Fax
(650) 692-2436
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Shirley Cox
Title
Systems & Billing Management
Phone
(877) 276-7759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1860 El Camino Real Ste 321
Burlingame, CA 94010-3114

Mailing address

1860 El Camino Real Ste 321
Burlingame, CA 94010-3114
Phone (650) 692-5760

Other identifiers 1

IdentifierTypeStateIssuer
GR0082440MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1740399567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL STE 321",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103114",
            "telephone_number": "650-692-5760",
            "fax_number": "650-692-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL STE 321",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103114",
            "telephone_number": "650-692-5760",
            "fax_number": "650-692-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "SYSTEMS & BILLING MANAGEMENT",
        "authorized_official_telephone_number": "877-276-7759"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0082440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.