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 | 207N00000X | Dermatology | | | CALIFORNIA | No |
2 | 207Q00000X | Family Medicine | | | CALIFORNIA | Yes |
3 | 207QA0000X | Family Medicine | Adolescent Medicine | | CALIFORNIA | No |
4 | 207QG0300X | Family Medicine | Geriatric Medicine | | CALIFORNIA | No |
5 | 207QS0010X | Family Medicine | Sports Medicine | | CALIFORNIA | No |
6 | 207R00000X | Internal Medicine | | | CALIFORNIA | No |
7 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | CALIFORNIA | No |
8 | 207RC0001X | Internal Medicine | Clinical Cardiac Electrophysiology | | CALIFORNIA | No |
9 | 207RC0200X | Internal Medicine | Critical Care Medicine | | CALIFORNIA | No |
10 | 207RI0200X | Internal Medicine | Infectious Disease | | CALIFORNIA | No |
11 | 207RP1001X | Internal Medicine | Pulmonary Disease | | CALIFORNIA | No |
12 | 2084N0400X | Psychiatry & Neurology | Neurology | | CALIFORNIA | No |
13 | 208600000X | Surgery | | | CALIFORNIA | No |
14 | 261QM1300X | Clinic/Center | Multi-Specialty | | CALIFORNIA | No |