NPIMap

Organization Active NPI

University Healthcare Alliance

  • Internal Medicine Physician
  • Campbell, CA
National Provider Identifier
1760838247
Registry record updated Sep 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UNIVERSITY HEALTHCARE ALLIANCE
Practice address
50 E Hamilton Ave
Suite 200
Campbell, CA 95008-0259
Phone
(510) 974-8258
NPI assigned
May 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2017

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

Authorized official

Name
Kristine Ruslen
Title
Director of Reimbursement
Phone
(510) 974-8297

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X

Addresses

Primary practice location

50 E Hamilton Ave
Suite 200
Campbell, CA 95008-0259

Mailing address

50 E Hamilton Ave
Suite 200
Campbell, CA 95008-0259

Other names 1

  • University Medical Group Campbell Other name

National Provider Directory

National Provider Directory
Tax ID family
University Healthcare Alliance26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504828800000",
    "number": "1760838247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E HAMILTON AVE",
            "address_2": "SUITE 200",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E HAMILTON AVE",
            "address_2": "SUITE 200",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080259",
            "telephone_number": "510-974-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEALTHCARE ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2017-09-08",
        "status": "A",
        "authorized_official_last_name": "RUSLEN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "510-974-8297"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Medical Group Campbell",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; 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.