Active NPI
Medtronic Monitoring Inc
- Physiological Laboratory
- South San Francisco, CA
National Provider Identifier
1871964296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- MEDTRONIC MONITORING INC
- Practice address
- 701 Gateway Blvd Ste 275
South San Francisco, CA 94080-7409 - Phone
- (650) 238-3700
- Fax
- (408) 790-9375
- NPI assigned
- Oct 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nina Goodheart
- Title
- Vice President and General Manager
- Phone
- (763) 526-2518
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
701 Gateway Blvd Ste 275
South San Francisco, CA 94080-7409
Mailing address
PO Box 74008550
Chicago, IL 60674-8550
National Provider Directory
National Provider DirectoryLocations
6000 Shoreline Ct
Ste 102
South San Francisco, CA 94080
Phone (650) 238-3700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523404800000",
"number": "1871964296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74008550",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606748550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GATEWAY BLVD STE 275",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940807409",
"telephone_number": "650-238-3700",
"fax_number": "408-790-9375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDTRONIC MONITORING INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-12",
"last_updated": "2018-04-11",
"status": "A",
"authorized_official_last_name": "GOODHEART",
"authorized_official_first_name": "NINA",
"authorized_official_title_or_position": "VICE PRESIDENT AND GENERAL MANAGER",
"authorized_official_telephone_number": "763-526-2518",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.