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SAN JOSE CARDIAC SURGERY GRP NPI 1477503381


NPI Information

NPI: 1477503381
Provider Name: SAN JOSE CARDIAC SURGERY GRP
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
15215 NATIONAL AVE STE 103
LOS GATOS, CA
ZIP 95032
Phone: (408) 559-1018
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SAN JOSE CARDIAC SURGERY GRP is a thoracic surgery cardiothoracic vascular surgery in Los Gatos, CA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. SAN JOSE CARDIAC SURGERY GRP NPI is 1477503381. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15215 NATIONAL AVE STE 103
LOS GATOS, CA
ZIP 95032-425
Phone: (408) 559-1018
Fax: (408) 371-3025

The provider's authorized official is Steven Michael Schwartz .
The authorized official title is Administrator Partner and has the following contact phone number (408) 559-1018.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 5/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1EG48808OTHERCHAMPUS
2HC382510OTHERHMO
3PG48808OTHERPPO
4GR0081260MEDICAIDCALIFORNIA
5HG48808OTHERHMO
600C382510OTHERMEDI-CAL
7EG63084OTHERCHAMPUS
8HG63084OTHERHMO
9ZZZ16883ZOTHERCALIFORNIABLUE SHIELD
10CN5287OTHERCALIFORNIARAILROAD MEDICARE
11PG63084OTHERPPO
1200G488080OTHERMEDI-CAL
1300G630840OTHERMEDI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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