Organization Active NPI

Albert L. Pisani MD a Medical Corp

  • Specialist
  • Redwood City, CA
National Provider Identifier
1881872117
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G067056 Issued in CA
Legal business name
ALBERT L. PISANI MD A MEDICAL CORP
Practice address
3519 Altamont Way
Redwood City, CA 94062-3105
Phone
(650) 722-8636
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Albert L Pisani, MD
Title
President
Phone
(650) 722-8636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G067056 CA Primary

Addresses

Primary practice location

3519 Altamont Way
Redwood City, CA 94062-3105

Mailing address

3519 Altamont Way
Redwood City, CA 94062-3105
Phone (650) 722-8636

Other identifiers 1

IdentifierTypeStateIssuer
W18764OtherCAMEDICARE GROUP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1881872117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 ALTAMONT WAY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940623105",
            "telephone_number": "650-722-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 ALTAMONT WAY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940623105",
            "telephone_number": "650-722-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT L. PISANI MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "PISANI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-722-8636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G067056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "W18764",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

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