Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720402977 Individual Practitioner Male Practitioner

Dr. Milton Bird Mccoll , MD

General Practice • San Jose, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Milton Mccoll, MD is a certified General Practice practicing in San Jose, CA. With approximately 37 years of clinical experience since graduating from Stanford University School Of Medicine in 1989, Dr. Mccoll delivers high-quality medical care to the local community at 455 OCONNOR DR STE 200.

Dr. Mccoll is affiliated with The Village Doctor and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

455 Oconnor Dr Ste 200

San Jose, CA 951281632

Telephone 4082837676
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Stanford University School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in San Jose, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs +2.3 yrs vs City Avg
City Avg: 34.7 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
38 Specialists

Practicing in San Jose, CA (2300 Statewide)

Telehealth Adoption Rate
2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccoll (37 Years) 37 Yrs
San Jose Specialty Average (34.7 Years) 34.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-04-30
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA GFE68043

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License AZ 62712

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ca Physician And Surgeon License
G68043 (CA)
Commercial Insurance / Payer ID Family Medicine
62712 (AZ)

Hospital & Practice Group Affiliations

The Village Doctor

2979 Woodside Rd, Woodside, CA 940622443

Phone: 6503310058

Secondary Practice Locations

4751 N 15th St

Phoenix, AZ 850143707

Phone: 6022777526

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Amy Watson , MD

Family Medicine

NPI 1033349998

Doctor of Medicine (M.D.)

Dr. David Shin , MD

Family Medicine - Sports Medicine

NPI 1194139253

Doctor of Medicine (M.D.)

NPI 1366682767

Doctor of Medicine (M.D.)

Dr. Ankita Shah , MD

Family Medicine

NPI 1467756684

Doctor of Medicine (M.D.)

Dr. Enoch Yoon , MD

Family Medicine

NPI 1689925703

Doctor of Medicine (M.D.)

Dr. Tiffany Chen , MD

Student in an Organized Health Care Education/Training Program

NPI 1699578732

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location April 30, 2021

Registered at 455 OCONNOR DR STE 200, SAN JOSE, CA 951281632 (Tel: 4082837676)

📍
Updated Business Mailing Address April 30, 2021

Registered at 4751 N 15TH ST, PHOENIX, AZ 850143707 (Tel: 6022777526)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2021

Family Medicine (License #62712 in AZ)

NPI Profile Active March 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2017

Registered at 455 OCONNOR DR, SUITE 200, SAN JOSE, CA 951281633 (Tel: 4082837676)

📍
Updated Business Mailing Address March 24, 2017

Registered at 455 OCONNOR DR, SUITE 200, SAN JOSE, CA 951281633 (Tel: 4082837676)

👤
Provider Name / Credentials Updated March 24, 2017

Recorded as MILTON MCCOLL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2017

General Practice (License #GFE68043 in CA)

NPI Profile Active February 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2014

Registered at 13151 W SUNSET DR, LOS ALTOS HILLS, CA 940223447 (Tel: 6505207284)

📍
Updated Business Mailing Address February 08, 2014

Registered at 13151 W SUNSET DR, LOS ALTOS HILLS, CA 940223447 (Tel: 6505207284)

👤
Provider Name / Credentials Updated February 08, 2014

Recorded as MILTON MCCOLL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2014

General Practice (License #GFE68043 in CA)

🟢
Initial NPI Registration & Enumeration February 08, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720402977
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2014
Last Update: April 30, 2021
Sole Proprietor: Yes

Mailing Address

4751 N 15th St

Phoenix, AZ 850143707

Phone: 6022777526

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.