Provider Demographics
NPI:1629294335
Name:MCCARTHY, JAMES PATRICK (CCP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PATRICK
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 SOLANA DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2232
Mailing Address - Country:US
Mailing Address - Phone:650-941-2589
Mailing Address - Fax:650-615-9995
Practice Address - Street 1:1014 SOLANA DR
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2232
Practice Address - Country:US
Practice Address - Phone:650-941-2589
Practice Address - Fax:650-615-9995
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA870097246X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist Cardiovascular