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SOUTH BAY MEDICAL CLINIC OF SAN JOSE NPI 1205320868


NPI Information

NPI: 1205320868
Provider Name: SOUTH BAY MEDICAL CLINIC OF SAN JOSE

Doing Business As: SOUTH BAY MEDICAL CLINIC OF SAN JOSE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
200 JOSE FIGUERES AVE STE 260
SAN JOSE, CA
ZIP 95116
Phone: (408) 251-0835
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SOUTH BAY MEDICAL CLINIC OF SAN JOSE is an internal medicine in San Jose, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SOUTH BAY MEDICAL CLINIC OF SAN JOSE NPI is 1205320868. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As South Bay Medical Clinic Of San Jose.

The provider's business location address is:

200 JOSE FIGUERES AVE STE 260
SAN JOSE, CA
ZIP 95116-555
Phone: (408) 251-0835
Fax: (408) 770-3314

The provider's authorized official is Tri Minh Do .
The authorized official title is Medical Director and has the following contact phone number (408) 835-9601.

The enumeration date for this NPI number is 6/18/2018 and was last updated on 9/6/2023.


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
1207R00000XInternal MedicineA53379CALIFORNIANo
22085R0203XRadiologyTherapeutic RadiologyNo
3207R00000XInternal MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A55472MEDICAIDCALIFORNIA
21619930260OTHERCALIFORNIANPI
3H44307OTHERUPIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.