COMPASS MEDICAL CLINIC NPI 1457935884

NPI Information

NPI: 1457935884
Provider Name: COMPASS MEDICAL CLINIC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D2270051

Address:
1340 TULLY RD STE 309
SAN JOSE, CA
ZIP 95122
Phone: (408) 993-8536
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COMPASS MEDICAL CLINIC is a primary care clinic center in San Jose, CA. COMPASS MEDICAL CLINIC NPI is 1457935884. The provider is registered as an organization entity type.

The provider's business location address is:

1340 TULLY RD STE 309
SAN JOSE, CA
ZIP 95122-055
Phone: (408) 993-8536
Fax: (408) 993-8539

The provider's authorized official is Gina N Bui .
The authorized official title is Physician and has the following contact phone number (408) 993-8536.

The CLIA number assigned to this NPI record is 05D2270051 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2021 and was last updated on 9/29/2021.

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			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: 4/28/2024

NPI Synchronization or Removal

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