Active NPI
Christopher William Lind-White, M.D.
- Developmental - Behavioral Pediatrics Physician
- Corte Madera, CA
National Provider Identifier
1790961449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- A63412
- Practice address
- 2 Fifer Ave
Suite 200
Corte Madera, CA 94925-1134 - Phone
- (415) 927-2788
- Fax
- (415) 927-2179
- NPI assigned
- Jan 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | A63412 | CA | Primary |
Addresses
Primary practice location
2 Fifer Ave
Suite 200
Corte Madera, CA 94925-1134
Mailing address
2 Fifer Ave
Suite 200
Corte Madera, CA 94925-1134
Phone (415) 927-2788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A63412 | CA | MD | Developmental - Behavioral Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200009600000",
"number": "1790961449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 FIFER AVE",
"address_2": "SUITE 200",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251134",
"telephone_number": "415-927-2788",
"fax_number": "415-927-2179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 FIFER AVE",
"address_2": "SUITE 200",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251134",
"telephone_number": "415-927-2788",
"fax_number": "415-927-2179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIND-WHITE",
"first_name": "CHRISTOPHER",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-11",
"last_updated": "2008-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "CA",
"license": "A63412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corte Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.