SOUTH BAY PEDIATRICS NPI 1528206224

NPI Information

NPI: 1528206224
Provider Name: SOUTH BAY PEDIATRICS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
200 JOSE FIGUERES AVE
SUITE # 435
SAN JOSE, CA
ZIP 95116
Phone: (408) 258-4244
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SOUTH BAY PEDIATRICS is a primary care clinic center in San Jose, CA. SOUTH BAY PEDIATRICS NPI is 1528206224. The provider is registered as an organization entity type.

The provider's business location address is:

200 JOSE FIGUERES AVE
SUITE # 435
SAN JOSE, CA
ZIP 95116-500
Phone: (408) 258-4244
Fax: (408) 258-3338

The provider's authorized official is Prasanna L Krishnamshetty .
The authorized official title is President and has the following contact phone number (408) 258-4244.

The enumeration date for this NPI number is 2/3/2009 and was last updated on 2/3/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	A63379	CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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