Provider Demographics
NPI:1831352350
Name:RASSBACH, WHITNEY M (MD)
Entity type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:M
Last Name:RASSBACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4050 MOORPARK AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95117-1840
Mailing Address - Country:US
Mailing Address - Phone:408-243-2700
Mailing Address - Fax:408-984-1594
Practice Address - Street 1:337 EL DORADO ST STE 2A
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4648
Practice Address - Country:US
Practice Address - Phone:831-649-4044
Practice Address - Fax:831-649-6340
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA134888207KA0200X
NY268712207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine