DR. JOHN MICHAEL RENNICK M.D. NPI 1699717298

NPI Information

NPI: 1699717298
Provider Name: DR. JOHN MICHAEL RENNICK, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
3031 TISCH WAY
STE 400
SAN JOSE, CA
ZIP 95128
Phone: (408) 244-2100
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DR. John Michael Rennick, M.D. is a specialist in San Jose, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. John Michael Rennick, M.D. NPI is 1699717298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3031 TISCH WAY
STE 400
SAN JOSE, CA
ZIP 95128-541
Phone: (408) 244-2100
Fax: (408) 244-6596

The enumeration date for this NPI number is 6/11/2006 and was last updated on 11/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		G16780	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A39903	MEDICARE UPIN	CALIFORNIA
2	00G167800	MEDICARE PIN	CALIFORNIA
3	00G167800	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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