MEDICARE: MEDEXPERT INTERNATIONAL, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163WC0400X	Case Management Registered Nurse
2	251B00000X	Case Management Agency
3	251K00000X	Public Health or Welfare Agency
4	251S00000X	Community/Behavioral Health Agency
5	261QP2300X	Primary Care Clinic/Center
6	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1508495532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDEXPERT INTERNATIONAL, INC.

Provider Business Mailing Address
First Line	:	PO BOX 7550
Second Line	:
City	:	MENLO PARK
State	:	CA
Zip	:	94026-7550
Country	:	US
Telephone Number	:	650-326-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 HANCOCK ST
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-2809
Country	:	US
Telephone Number	:	650-326-6000
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MARY R HILLER
Credential	:
Telephone Number	:	650-326-6000

Provider Enumeration Date	:	04/02/2020
Last Update Date	:	04/02/2020

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