COMPASS MEDICAL CLINIC NPI 1457935884

NPI Information

  • NPI: 1457935884
  • Provider Name: COMPASS MEDICAL CLINIC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 05D2270051
  • Address: 1340 TULLY RD STE 309
    SAN JOSE, CA
    ZIP 95122
  • Phone: (408) 993-8536

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NPI Details

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
1261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

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