| Minimally Invasive Surgical Solutions Medical Corporation | |
|
105 N Bascom Ave Ste 104 San Jose CA 95128-1811 | |
| (408) 918-0405 | |
| (408) 918-0409 |
| Full Name | Minimally Invasive Surgical Solutions Medical Corporation |
|---|---|
| Speciality | Radiology |
| Location | 105 N Bascom Ave Ste 104, San Jose, California |
| Authorized Official Name and Position | Maria Andrade (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4089180405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minimally Invasive Surgical Solutions Medical Corporation 105 N Bascom Ave Ste 104 San Jose CA 95128-1811 Ph: (408) 918-0405 | Minimally Invasive Surgical Solutions Medical Corporation 105 N Bascom Ave Ste 104 San Jose CA 95128-1811 Ph: (408) 918-0405 |
| NPI Number | 1821167628 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 06/10/2025 |
| Medicare PECOS PAC ID | 2163311101 |
|---|---|
| Medicare Enrollment ID | O20040315001141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821167628 | NPI | - | NPPES |
| GR0095460 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | (* (Not Available)) | Primary |
| Provider Name | Arash M Padidar |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1376588160 PECOS PAC ID: 6103715156 Enrollment ID: I20040317001407 |
| Provider Name | Priscilla Morris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215958095 PECOS PAC ID: 8022900737 Enrollment ID: I20040330001714 |
| Provider Name | Richard Katz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295787943 PECOS PAC ID: 8820044167 Enrollment ID: I20050329001323 |
| Provider Name | Paul Cipriano |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1669486700 PECOS PAC ID: 1951314046 Enrollment ID: I20070430000193 |
| Provider Name | Hossein Shenasa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942368444 PECOS PAC ID: 0244316800 Enrollment ID: I20080321000280 |
| Provider Name | Lotfi Hacein-bey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730166604 PECOS PAC ID: 4284663832 Enrollment ID: I20081210000107 |
| Provider Name | Lindsey J.b. Pierce |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1861629453 PECOS PAC ID: 1052627395 Enrollment ID: I20150901000629 |
| Provider Name | Rian Aaron Holayter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407019334 PECOS PAC ID: 5294962841 Enrollment ID: I20221207002174 |
Chris Chung, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Oconnor Dr, #150, San Jose, CA 95128 Phone: 408-293-7767 Fax: 408-294-6595 | |
Tuan Le, M.d. A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Lexann Ave, Suite 122, San Jose, CA 95121 Phone: 408-531-1555 | |
Frank D. Shin, Md, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1440 S De Anza Blvd, Suite A, San Jose, CA 95129 Phone: 408-366-0405 | |
Verity Medical Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 N Jackson Ave, San Jose, CA 95116 Phone: 408-278-3000 | |
Leena Gupta Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4945 Bridgeview Ln, San Jose, CA 95138 Phone: 408-666-0392 | |
Shen Medicine & Pediatrics Assc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Rosewood Ave, San Jose, CA 95117 Phone: 408-296-9800 Fax: 408-296-9805 | |
Terry C. Lin D.o.,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2520 Samaritan Dr., #201, San Jose, CA 95124 Phone: 888-582-0814 |