MEDICARE: JAMES MCCARRICK III M.D.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	A60133	CA

General Provider Information

NPI Number	:	1548358880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES MCCARRICK III M.D.

Provider Business Mailing Address
First Line	:	2350 W. EL CAMINO REAL
Second Line	:	2ND FLOOR
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-6203
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	805 VETERANS BLVD.
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-1736
Country	:	US
Telephone Number	:	650-853-6600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	04/16/2012

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