Organization Active NPI

Offsite Care, Inc

  • Hospitalist Physician
  • Sebastopol, CA
National Provider Identifier
1740488303
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
OFFSITE CARE, INC
Practice address
6800 Palm Ave
Suite K
Sebastopol, CA 95472-4269
Phone
(707) 824-0882
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Authorized official

Name
Dr. James K. Gude, MDNPI 1235194697
Title
Ceo/President
Phone
(707) 824-0882

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
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

6800 Palm Ave
Suite K
Sebastopol, CA 95472-4269

Mailing address

6800 Palm Ave
Suite K
Sebastopol, CA 95472-4269
Phone (707) 824-0882

Other identifiers 2

IdentifierTypeStateIssuer
00G127260MedicaidCA
00G271210MedicaidCA

National Provider Directory

National Provider Directory

Locations

1 Madrone St
#R
Willits, CA 95490
Phone (707) 459-6801

Practitioners & affiliated clinicians

Practitioners 3

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": "1362700800000",
    "number": "1740488303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PALM AVE",
            "address_2": "SUITE K",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724269",
            "telephone_number": "707-824-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PALM AVE",
            "address_2": "SUITE K",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724269",
            "telephone_number": "707-824-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFSITE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "GUDE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "707-824-0882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G127260",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G271210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.