Organization Active NPI

Ronald a Restifo MD a Prof Corp

  • Rheumatology Physician
  • San Jose, CA
National Provider Identifier
1821194341
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
RONALD A RESTIFO MD A PROF CORP
Practice address
2512 Samaritan CT
Ste P
San Jose, CA 95124
Phone
(408) 356-3181
Fax
(408) 356-9612
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Dr. Yong Sook Lynda Lee, MD
Title
MD Owner
Phone
(408) 356-3181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

2512 Samaritan CT
Ste P
San Jose, CA 95124

Mailing address

2512 Samaritan CT
Ste P
San Jose, CA 95124
Phone (408) 356-3181

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1821194341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 SAMARITAN CT",
            "address_2": "STE P",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-356-3181",
            "fax_number": "408-356-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 SAMARITAN CT",
            "address_2": "STE P",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-356-3181",
            "fax_number": "408-356-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD A RESTIFO MD A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YONG SOOK",
        "authorized_official_middle_name": "LYNDA",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "408-356-3181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

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