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SILICON VALLEY OB-GYN MEDICAL ASSOCIATES INC. NPI 1780729426


NPI Information

NPI: 1780729426
Provider Name: SILICON VALLEY OB-GYN MEDICAL ASSOCIATES INC.
Classification: Obstetrics & Gynecology - 207VC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

CLIA Number: 05D1099529

Address:
150 N. JACKSON AVE #209
SAN JOSE, CA
ZIP 95116
Phone: (408) 929-2680
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SILICON VALLEY OB-GYN MEDICAL ASSOCIATES INC. is a critical care medicine obstetrics gynecology in San Jose, CA. The provider is an obstetrician/gynecologist, who specializes in critical care medicine diagnoses, treats and supports female patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. SILICON VALLEY OB-GYN MEDICAL ASSOCIATES INC. NPI is 1780729426. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 N. JACKSON AVE #209
SAN JOSE, CA
ZIP 95116
Phone: (408) 929-2680
Fax: (408) 929-4635

The provider's authorized official is Kenneth Phan .
The authorized official title is Ceo and has the following contact phone number (408) 929-2680.

The CLIA number assigned to this NPI record is 05D1099529 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 3/28/2019.


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
1207VC0200XObstetrics & GynecologyCritical Care MedicineYes
2261Q00000XClinic/CenterNo

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
100A771730MEDICAIDCALIFORNIA

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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