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SAN JOSE ORTHOPEDIC ASSOCIATES MEDICAL CORPORATION NPI 1508908518


NPI Information

NPI: 1508908518
Provider Name: SAN JOSE ORTHOPEDIC ASSOCIATES MEDICAL CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2505 SAMARITAN DR
SUITE 210
SAN JOSE, CA
ZIP 95124
Phone: (408) 358-8300
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SAN JOSE ORTHOPEDIC ASSOCIATES MEDICAL CORPORATION is a specialist in San Jose, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SAN JOSE ORTHOPEDIC ASSOCIATES MEDICAL CORPORATION NPI is 1508908518. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2505 SAMARITAN DR
SUITE 210
SAN JOSE, CA
ZIP 95124-008
Phone: (408) 358-8300
Fax: (408) 358-8301

The provider's authorized official is Mark Ira Golod .
The authorized official title is President and has the following contact phone number (408) 358-8300.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 7/17/2014.


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
1174400000XSpecialistG33893CALIFORNIAYes

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
10577650001MEDICARE NSCCALIFORNIA
2ZZZ16153ZMEDICARE OSCAR/CERTIFICATIONCALIFORNIA
3CA7662OTHERCALIFORNIARAILROAD MEDICARE
4ZZZ02894ZOTHERCALIFORNIABLUE SHIELD OF CALIFORNIA

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: 11/14/2023

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