Organization Active NPI

Bernard Recht, PH.D., M.D., Inc.

  • Dermatology Physician
  • Sunnyvale, CA
National Provider Identifier
1750536934
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G52967 Issued in CA
Legal business name
BERNARD RECHT, PH.D., M.D., INC.
Practice address
603 S Knickerbocker Dr
Sunnyvale, CA 94087-1034
Phone
(408) 736-0441
Fax
(408) 736-0722
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Bernard Recht, PH.D. M.D.
Title
Owner
Phone
(408) 736-0441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X G52967 CA Primary

Addresses

Primary practice location

603 S Knickerbocker Dr
Sunnyvale, CA 94087-1034

Mailing address

603 S Knickerbocker Dr
Sunnyvale, CA 94087-1034
Phone (408) 736-0441

Other identifiers 2

IdentifierTypeStateIssuer
1780617100OtherCAINDIVIDUAL NPI
05D0592715OtherCAMEDICARE AUTHORIZATION & CLIA #

National Provider Directory

National Provider Directory

Locations

603 S Knickerbocker Dr
Sunnyvale, CA 94087
Phone (408) 736-0441

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1750536934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 S KNICKERBOCKER DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871034",
            "telephone_number": "408-736-0441",
            "fax_number": "408-736-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S KNICKERBOCKER DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871034",
            "telephone_number": "408-736-0441",
            "fax_number": "408-736-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD RECHT, PH.D., M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "RECHT",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-736-0441",
        "authorized_official_credential": "PH.D.  M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G52967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1780617100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE AUTHORIZATION & CLIA #",
            "identifier": "05D0592715",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.