Provider Demographics
NPI:1205574019
Name:CAPIZZI MEDICAL CORPORATION
Entity type:Organization
Organization Name:CAPIZZI MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:NUOVO
Authorized Official - Last Name:CAPIZZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-403-1763
Mailing Address - Street 1:PO BOX 324
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-0324
Mailing Address - Country:US
Mailing Address - Phone:925-743-0644
Mailing Address - Fax:925-743-1999
Practice Address - Street 1:815 POLLARD RD
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1438
Practice Address - Country:US
Practice Address - Phone:408-866-4036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-23
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty