| Silicon Valley Medical Development Llc | |
|
828 S Winchester Blvd San Jose CA 95128-2930 | |
| (408) 871-3400 | |
| (408) 866-3999 |
| Full Name | Silicon Valley Medical Development Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 828 S Winchester Blvd, San Jose, California |
| Authorized Official Name and Position | Michael Walsh (CONTROLLER) |
| Authorized Official Contact | 6509407240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Silicon Valley Medical Development Llc 973 University Ave Los Gatos CA 95032-7636 Ph: (408) 871-3200 | Silicon Valley Medical Development Llc 828 S Winchester Blvd San Jose CA 95128-2930 Ph: (408) 871-3400 |
| NPI Number | 1164880761 |
|---|---|
| Provider Enumeration Date | 02/10/2016 |
| Last Update Date | 11/02/2022 |
| Medicare PECOS PAC ID | 6103115183 |
|---|---|
| Medicare Enrollment ID | O20160513001617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164880761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | David Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255435483 PECOS PAC ID: 2567364532 Enrollment ID: I20040121001139 |
| Provider Name | Rasik Kansara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063461747 PECOS PAC ID: 9436044286 Enrollment ID: I20040219000577 |
| Provider Name | Imtiaz Lewis Qureshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215901061 PECOS PAC ID: 8325934839 Enrollment ID: I20040223000908 |
| Provider Name | Varsha Saha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154432524 PECOS PAC ID: 4486646338 Enrollment ID: I20040331001086 |
| Provider Name | T Tejpal Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376533133 PECOS PAC ID: 7517959976 Enrollment ID: I20040402001153 |
| Provider Name | Saigeetha Sundaramurthy |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609987932 PECOS PAC ID: 0840283529 Enrollment ID: I20040407000907 |
| Provider Name | Sheila Savur |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194836585 PECOS PAC ID: 2860489820 Enrollment ID: I20040429001527 |
| Provider Name | Veronique L Au |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255399531 PECOS PAC ID: 5991794463 Enrollment ID: I20040510000935 |
| Provider Name | Ramesh K Gopi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700850559 PECOS PAC ID: 9335126671 Enrollment ID: I20040702001188 |
| Provider Name | Rosevalie Garcia Conde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215002381 PECOS PAC ID: 0547230245 Enrollment ID: I20040729000921 |
| Provider Name | Hiep Ngo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497763536 PECOS PAC ID: 1355316175 Enrollment ID: I20040826000494 |
| Provider Name | Karen L Pike |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497700553 PECOS PAC ID: 4688640915 Enrollment ID: I20040908000381 |
| Provider Name | Han Po Lo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851341655 PECOS PAC ID: 3678560950 Enrollment ID: I20040915000476 |
| Provider Name | Vijaya Dudyala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477522589 PECOS PAC ID: 7113995127 Enrollment ID: I20040917000843 |
| Provider Name | Ylayaly K Bianco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558421768 PECOS PAC ID: 9638139371 Enrollment ID: I20041015000937 |
| Provider Name | Shahram S Gholami |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932272804 PECOS PAC ID: 2062470149 Enrollment ID: I20041222000468 |
| Provider Name | Sandra Y Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578674461 PECOS PAC ID: 2668430059 Enrollment ID: I20050103000213 |
| Provider Name | David M Nudell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912070889 PECOS PAC ID: 8527026608 Enrollment ID: I20050114000877 |
| Provider Name | Alexander Doan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003859661 PECOS PAC ID: 8628021086 Enrollment ID: I20050224001034 |
| Provider Name | David W Noller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922156157 PECOS PAC ID: 0345294625 Enrollment ID: I20050309000728 |
| Provider Name | Matthew Hung Tranduc |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154432490 PECOS PAC ID: 5799731329 Enrollment ID: I20050328000402 |
| Provider Name | James Joye |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396751889 PECOS PAC ID: 1456321124 Enrollment ID: I20050506000375 |
| Provider Name | Ramtin Agah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255326310 PECOS PAC ID: 9234182528 Enrollment ID: I20050802000837 |
| Provider Name | Arshia Arjumand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215961917 PECOS PAC ID: 0446281489 Enrollment ID: I20050829001090 |
| Provider Name | Deirdre Judith Lyell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821130865 PECOS PAC ID: 9537194014 Enrollment ID: I20051004000324 |
| Provider Name | Amrita Bans Ghumman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831292994 PECOS PAC ID: 3577598937 Enrollment ID: I20051004000996 |
| Provider Name | Frank C Lai |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023067329 PECOS PAC ID: 5698793289 Enrollment ID: I20051102000563 |
| Provider Name | Archana Bindra |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225066947 PECOS PAC ID: 7214904549 Enrollment ID: I20051122000875 |
| Provider Name | Buff R Greider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811915846 PECOS PAC ID: 3870513187 Enrollment ID: I20051201000512 |
| Provider Name | Todd Andrew Mcgregor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427106400 PECOS PAC ID: 0547275919 Enrollment ID: I20060207000734 |
| Provider Name | Shane Paul Dormady |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417024654 PECOS PAC ID: 1850306085 Enrollment ID: I20060209000307 |
| Provider Name | Edward Karpman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851349609 PECOS PAC ID: 2062425879 Enrollment ID: I20060721000182 |
| Provider Name | Lelanya B Kearns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356398697 PECOS PAC ID: 6305805326 Enrollment ID: I20060829000248 |
| Provider Name | Yair Josh Blumenfeld |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518077726 PECOS PAC ID: 7315942000 Enrollment ID: I20061002000686 |
| Provider Name | Thai Vo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235231986 PECOS PAC ID: 3173528726 Enrollment ID: I20061003000584 |
| Provider Name | Lisa J Hwong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437170024 PECOS PAC ID: 4981604097 Enrollment ID: I20070112000270 |
| Provider Name | Paul I Huang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689753337 PECOS PAC ID: 6103828140 Enrollment ID: I20070205000486 |
| Provider Name | Yasser Y El-sayed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548302482 PECOS PAC ID: 9032214788 Enrollment ID: I20070425000184 |
| Provider Name | Jane T Chueh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851433874 PECOS PAC ID: 1153427794 Enrollment ID: I20070427000589 |
| Provider Name | Ralph L Smathers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699856187 PECOS PAC ID: 0749281988 Enrollment ID: I20070503000436 |
| Provider Name | Richard A Ornelas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730258229 PECOS PAC ID: 9931206240 Enrollment ID: I20070522000265 |
| Provider Name | Sara M Farr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356562789 PECOS PAC ID: 8224136445 Enrollment ID: I20070611000677 |
| Provider Name | Yuriria S Lobato |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972597458 PECOS PAC ID: 3678653052 Enrollment ID: I20080110000576 |
| Provider Name | Susan C Marks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801835079 PECOS PAC ID: 7416031414 Enrollment ID: I20080229000208 |
| Provider Name | Mauro B Ruffy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376725630 PECOS PAC ID: 4284719048 Enrollment ID: I20080304000825 |
| Provider Name | Megan Leung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568481968 PECOS PAC ID: 8224118856 Enrollment ID: I20080312000407 |
| Provider Name | Patrick Edward Wherry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134127269 PECOS PAC ID: 4385722420 Enrollment ID: I20080415000507 |
| Provider Name | Gary A Li |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295773489 PECOS PAC ID: 9335227362 Enrollment ID: I20080416000425 |
| Provider Name | Karen Y Fann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265635023 PECOS PAC ID: 4587733571 Enrollment ID: I20080516000284 |
| Provider Name | Marcos N Alvarez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326246059 PECOS PAC ID: 3779652706 Enrollment ID: I20080516000587 |
| Provider Name | Carina Fabiana Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568480556 PECOS PAC ID: 0840230520 Enrollment ID: I20080516000669 |
| Provider Name | Ester C Kwok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790886034 PECOS PAC ID: 6901978261 Enrollment ID: I20080701000348 |
| Provider Name | Vladimir Oykhman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861503401 PECOS PAC ID: 4789757253 Enrollment ID: I20080716000330 |
| Provider Name | Shabnam Husain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609987577 PECOS PAC ID: 2264505643 Enrollment ID: I20080717000531 |
| Provider Name | Tahira Z Malik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376645739 PECOS PAC ID: 0244303626 Enrollment ID: I20080717000543 |
| Provider Name | Ilene Newman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396856928 PECOS PAC ID: 2668545880 Enrollment ID: I20080722000344 |
| Provider Name | Jane T Lombard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558311050 PECOS PAC ID: 7517031933 Enrollment ID: I20080804000312 |
| Provider Name | Tan K Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437173754 PECOS PAC ID: 1254409717 Enrollment ID: I20081010000187 |
| Provider Name | Gabriela Tarau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396894986 PECOS PAC ID: 7517068901 Enrollment ID: I20081013000416 |
| Provider Name | Gideon Sughrue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063601037 PECOS PAC ID: 6103984141 Enrollment ID: I20081021000328 |
| Provider Name | Osama F Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154432045 PECOS PAC ID: 6507926417 Enrollment ID: I20081122000028 |
| Provider Name | Jerry L Manoukian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457400889 PECOS PAC ID: 5890856462 Enrollment ID: I20081202000411 |
| Provider Name | Jaideep J Iyengar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245493881 PECOS PAC ID: 9032270434 Enrollment ID: I20081203000820 |
| Provider Name | Marina S Chechelnitsky |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629188875 PECOS PAC ID: 6204997406 Enrollment ID: I20081205000672 |
| Provider Name | Henry Weinstock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043312655 PECOS PAC ID: 4486715166 Enrollment ID: I20081213000070 |
| Provider Name | Arthur B Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669576864 PECOS PAC ID: 0749343895 Enrollment ID: I20090115000234 |
| Provider Name | Joshua D Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629288766 PECOS PAC ID: 8527122985 Enrollment ID: I20090129000311 |
| Provider Name | Yu Hwong |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306899208 PECOS PAC ID: 0547326597 Enrollment ID: I20090323000086 |
| Provider Name | Gregory Halsey Gilbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740324151 PECOS PAC ID: 6709935265 Enrollment ID: I20090513000225 |
| Provider Name | Melissa Larsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831192418 PECOS PAC ID: 3274682422 Enrollment ID: I20090519000515 |
| Provider Name | Wesley Gin Nung Kong |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962602151 PECOS PAC ID: 2264527787 Enrollment ID: I20090826000641 |
| Provider Name | Navid Zenooz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700065265 PECOS PAC ID: 5092888404 Enrollment ID: I20090827000863 |
| Provider Name | Tony Maung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851316954 PECOS PAC ID: 7315978186 Enrollment ID: I20100224000524 |
| Provider Name | Benjamin M Wu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740382381 PECOS PAC ID: 7719013168 Enrollment ID: I20100325000167 |
| Provider Name | Matthew Dpm Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730290032 PECOS PAC ID: 6204962665 Enrollment ID: I20100325000228 |
| Provider Name | Roeliza E Pascua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861503443 PECOS PAC ID: 6709912165 Enrollment ID: I20100325000277 |
| Provider Name | Sandi E Matarangas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871600239 PECOS PAC ID: 6507992807 Enrollment ID: I20100325000710 |
| Provider Name | Megan Ancker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649328717 PECOS PAC ID: 3779610456 Enrollment ID: I20100429000154 |
| Provider Name | Rowena R Murthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447416029 PECOS PAC ID: 4789716861 Enrollment ID: I20100726000383 |
| Provider Name | Archana Bhogill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598723058 PECOS PAC ID: 7810913027 Enrollment ID: I20100920000894 |
| Provider Name | Shafqat Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700960788 PECOS PAC ID: 4880880202 Enrollment ID: I20101124000979 |
| Provider Name | Vinit K Madhvani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932387057 PECOS PAC ID: 0143417345 Enrollment ID: I20101214001020 |
| Provider Name | Mohammad H Moussavian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306922828 PECOS PAC ID: 6800078767 Enrollment ID: I20110314000727 |
| Provider Name | Silaja Yitta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437353067 PECOS PAC ID: 4082899083 Enrollment ID: I20110505000610 |
| Provider Name | Mark Noller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497726095 PECOS PAC ID: 0648459131 Enrollment ID: I20110616000255 |
| Provider Name | Marc-alan Y Iwahashi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235123985 PECOS PAC ID: 8527238021 Enrollment ID: I20110818000625 |
| Provider Name | Edward S Cho |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801828231 PECOS PAC ID: 5799799946 Enrollment ID: I20110831000430 |
| Provider Name | Khoi D Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003141102 PECOS PAC ID: 7012182876 Enrollment ID: I20111207000361 |
| Provider Name | Lakshminarayan Srinivasan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174766802 PECOS PAC ID: 1355502527 Enrollment ID: I20120416000151 |
| Provider Name | Mandana Abollhassani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588826242 PECOS PAC ID: 2264695105 Enrollment ID: I20120514000078 |
| Provider Name | Nicholas Brian K Monaco |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457404816 PECOS PAC ID: 7416051081 Enrollment ID: I20120605000734 |
| Provider Name | Addy Squarer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679581425 PECOS PAC ID: 8123181674 Enrollment ID: I20120717000526 |
| Provider Name | Jiali Li |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396981445 PECOS PAC ID: 0749432276 Enrollment ID: I20121210000212 |
| Provider Name | Nicole Borau |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285836403 PECOS PAC ID: 1052557667 Enrollment ID: I20130425000594 |
| Provider Name | William Theodorou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063686624 PECOS PAC ID: 9436399722 Enrollment ID: I20130710000296 |
| Provider Name | Kompal Piplani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881868537 PECOS PAC ID: 0345302980 Enrollment ID: I20130722000295 |
| Provider Name | Katherine Alconcel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376864215 PECOS PAC ID: 6800037953 Enrollment ID: I20130801000235 |
| Provider Name | Veronica Nicole Ortiz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851592844 PECOS PAC ID: 4789735234 Enrollment ID: I20130807000168 |
| Provider Name | Ioana A Gheorghiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598967317 PECOS PAC ID: 6103919204 Enrollment ID: I20130813000494 |
| Provider Name | Sheetal Ankolekar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689014755 PECOS PAC ID: 0143462655 Enrollment ID: I20130813000643 |
| Provider Name | Taisiya Kupriyanova |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669731030 PECOS PAC ID: 8325276843 Enrollment ID: I20140108000954 |
| Provider Name | Chadi Zeinati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508021387 PECOS PAC ID: 5294920971 Enrollment ID: I20140521001581 |
| Provider Name | Shiva R Singhal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942456389 PECOS PAC ID: 7416089651 Enrollment ID: I20140604002592 |
| Provider Name | Amy E Judy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053692988 PECOS PAC ID: 3678798584 Enrollment ID: I20140709002434 |
| Provider Name | Daniel Brunengraber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679734990 PECOS PAC ID: 9931326287 Enrollment ID: I20140808001870 |
| Provider Name | Yazeed M Gussous |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891969184 PECOS PAC ID: 9032351382 Enrollment ID: I20140826002968 |
| Provider Name | Tiffany C Herrero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609140524 PECOS PAC ID: 8729200316 Enrollment ID: I20141114002159 |
| Provider Name | Robin E Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831523737 PECOS PAC ID: 9537483102 Enrollment ID: I20150130002058 |
| Provider Name | Erica P Wu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518272566 PECOS PAC ID: 7719204031 Enrollment ID: I20150326000663 |
| Provider Name | David Valenzuela |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184937021 PECOS PAC ID: 0941431068 Enrollment ID: I20150630002630 |
| Provider Name | Natalie C Renda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710146329 PECOS PAC ID: 8729102496 Enrollment ID: I20151005000523 |
| Provider Name | Nancy Sue Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144643420 PECOS PAC ID: 5092005801 Enrollment ID: I20160607002464 |
| Provider Name | Elizabeth Tong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932495496 PECOS PAC ID: 5698903524 Enrollment ID: I20160706001747 |
| Provider Name | Clark T Kholeif |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831484112 PECOS PAC ID: 7315230943 Enrollment ID: I20160720000808 |
| Provider Name | Abhishek Choudhary |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730276122 PECOS PAC ID: 3375721582 Enrollment ID: I20160929001343 |
| Provider Name | Katherine Vereeke Kuhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497076467 PECOS PAC ID: 5890096622 Enrollment ID: I20170403001127 |
| Provider Name | James Shaochi Hwong |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629335476 PECOS PAC ID: 9436398708 Enrollment ID: I20170815002953 |
| Provider Name | Hsing C Pao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720406549 PECOS PAC ID: 5991006983 Enrollment ID: I20171027001593 |
| Provider Name | Dena Rae Matalon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134567696 PECOS PAC ID: 2860759792 Enrollment ID: I20171201001611 |
| Provider Name | Amirummul B Nusairee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376983296 PECOS PAC ID: 9436373982 Enrollment ID: I20171208000694 |
| Provider Name | Charlyne Julao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457710527 PECOS PAC ID: 2365736279 Enrollment ID: I20180322001129 |
| Provider Name | Mathilde Moazazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366671224 PECOS PAC ID: 5991980286 Enrollment ID: I20180323000343 |
| Provider Name | Albert Yuan Yang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811330145 PECOS PAC ID: 0648571729 Enrollment ID: I20180515002571 |
| Provider Name | Maria S Govorkova |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639511488 PECOS PAC ID: 4688929565 Enrollment ID: I20180618001277 |
| Provider Name | Paulomi Kadakia Bhalla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730317710 PECOS PAC ID: 2062714579 Enrollment ID: I20180810003002 |
| Provider Name | Daisy-scarlett Maccallum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508120924 PECOS PAC ID: 8628205705 Enrollment ID: I20190503000521 |
| Provider Name | Nishina Ann Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174933204 PECOS PAC ID: 2668714916 Enrollment ID: I20190507000827 |
| Provider Name | Haramrit Hansra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841695889 PECOS PAC ID: 0345504544 Enrollment ID: I20190612003029 |
| Provider Name | Laura Lynne Asaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003916636 PECOS PAC ID: 1951302371 Enrollment ID: I20190628000965 |
| Provider Name | Oscar David Becerra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316931439 PECOS PAC ID: 4284683012 Enrollment ID: I20191101002374 |
| Provider Name | Cindy Yusing Wang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982966214 PECOS PAC ID: 0042642365 Enrollment ID: I20191107000603 |
| Provider Name | Kusum Regmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538705611 PECOS PAC ID: 4880029180 Enrollment ID: I20200114003580 |
| Provider Name | Linda Joyce Lee |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093841587 PECOS PAC ID: 9739517814 Enrollment ID: I20200324001918 |
| Provider Name | Kamalpreet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982021911 PECOS PAC ID: 7517183767 Enrollment ID: I20200626000630 |
| Provider Name | Andrew C Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346656055 PECOS PAC ID: 8022432848 Enrollment ID: I20200727000227 |
| Provider Name | David Moon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1912324104 PECOS PAC ID: 3577988971 Enrollment ID: I20200731002952 |
| Provider Name | Michi Rose Spady |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700311081 PECOS PAC ID: 2769808039 Enrollment ID: I20200817003856 |
| Provider Name | Vera A Mayercik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396000451 PECOS PAC ID: 1759670631 Enrollment ID: I20200831001844 |
| Provider Name | Jalia Karama Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073040937 PECOS PAC ID: 7719240373 Enrollment ID: I20201002001423 |
| Provider Name | Allison Melissa Yee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134626120 PECOS PAC ID: 9931515830 Enrollment ID: I20210301001173 |
| Provider Name | Raabia N Ahmad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942521497 PECOS PAC ID: 0244479210 Enrollment ID: I20210428002021 |
| Provider Name | Eunjeong Kim |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104147834 PECOS PAC ID: 3779724216 Enrollment ID: I20210623004086 |
| Provider Name | Anthony Ea |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700203221 PECOS PAC ID: 2961797139 Enrollment ID: I20210628001761 |
| Provider Name | Stephen Huynh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093206633 PECOS PAC ID: 4880093566 Enrollment ID: I20210714001862 |
| Provider Name | Danielle Mari Panelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366853475 PECOS PAC ID: 6608097001 Enrollment ID: I20210720002799 |
| Provider Name | Bindu Edwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841694189 PECOS PAC ID: 2163727017 Enrollment ID: I20210721002505 |
| Provider Name | Chukwuemeka Kingsley Okoro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992202329 PECOS PAC ID: 8527462258 Enrollment ID: I20210803002023 |
| Provider Name | Kavita Joanna Noble |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245350123 PECOS PAC ID: 1951790476 Enrollment ID: I20211122002101 |
| Provider Name | Melina Noelle Rapazzini |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154093953 PECOS PAC ID: 3870984594 Enrollment ID: I20220106001083 |
| Provider Name | Rubiya Kausar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053842542 PECOS PAC ID: 6002203585 Enrollment ID: I20220502001701 |
| Provider Name | Hsiang-hua Hung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235520909 PECOS PAC ID: 3072882729 Enrollment ID: I20220630002844 |
| Provider Name | Jaspreet S Batra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134382237 PECOS PAC ID: 8729335757 Enrollment ID: I20220719000015 |
| Provider Name | Sara Shams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457881401 PECOS PAC ID: 2961884705 Enrollment ID: I20220727000267 |
| Provider Name | Meryl Megumi Sperling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386022424 PECOS PAC ID: 6103209309 Enrollment ID: I20220822001565 |
| Provider Name | Sara Rummelhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497277354 PECOS PAC ID: 1254607781 Enrollment ID: I20220826002626 |
| Provider Name | Shuo Qiu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760987465 PECOS PAC ID: 6406104827 Enrollment ID: I20220930000207 |
| Provider Name | Danielle Elise Carlson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053086728 PECOS PAC ID: 1557737749 Enrollment ID: I20221012003292 |
| Provider Name | David Lin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306227079 PECOS PAC ID: 7012263510 Enrollment ID: I20230201002658 |
| Provider Name | Christine Mei Huynh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881222792 PECOS PAC ID: 5799158531 Enrollment ID: I20230227001827 |
| Provider Name | Kathleen Carey Minor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720440811 PECOS PAC ID: 1456642487 Enrollment ID: I20230414001391 |
| Provider Name | Christina Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629430855 PECOS PAC ID: 1850757055 Enrollment ID: I20230512002327 |
| Provider Name | Janesh Lakhoo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194179937 PECOS PAC ID: 2961883160 Enrollment ID: I20230605003005 |
| Provider Name | Lucy Lan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760987408 PECOS PAC ID: 1153671508 Enrollment ID: I20230612001772 |
| Provider Name | Ray-young Tsao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245850775 PECOS PAC ID: 3577986975 Enrollment ID: I20230626001446 |
| Provider Name | Magin Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144782673 PECOS PAC ID: 5991037541 Enrollment ID: I20230630001560 |
| Provider Name | Jonathan C Hu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871097956 PECOS PAC ID: 7719347566 Enrollment ID: I20230712002656 |
| Provider Name | Jessica Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255891230 PECOS PAC ID: 4981065117 Enrollment ID: I20230803001608 |
| Provider Name | Annie Anran Ma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265069017 PECOS PAC ID: 8426413360 Enrollment ID: I20230804001808 |
| Provider Name | Sara Plett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457664427 PECOS PAC ID: 8628209897 Enrollment ID: I20230914001374 |
| Provider Name | Karisma Desai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407483324 PECOS PAC ID: 8820442627 Enrollment ID: I20230927003928 |
| Provider Name | Aida Dizdarevic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639521065 PECOS PAC ID: 7012251432 Enrollment ID: I20231020000164 |
| Provider Name | Michael Ryder |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1720439607 PECOS PAC ID: 2163715558 Enrollment ID: I20231115002800 |
| Provider Name | Andrew Rathnasamy Xavier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124097225 PECOS PAC ID: 5597793695 Enrollment ID: I20240104002165 |
| Provider Name | Laura Ann Hogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588647861 PECOS PAC ID: 3072529346 Enrollment ID: I20240128000253 |
| Provider Name | Mark G Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770585721 PECOS PAC ID: 7810946530 Enrollment ID: I20240207000832 |
| Provider Name | Stephen G Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568451284 PECOS PAC ID: 9234110008 Enrollment ID: I20240207002479 |
| Provider Name | Mark E. Dearing |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386669372 PECOS PAC ID: 9436165321 Enrollment ID: I20240208001107 |
| Provider Name | Matthew Curry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548767544 PECOS PAC ID: 0840540241 Enrollment ID: I20240219000840 |
| Provider Name | Craig Edward Hancock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982693693 PECOS PAC ID: 7517871940 Enrollment ID: I20240219002381 |
| Provider Name | Richard E Scalf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780663179 PECOS PAC ID: 5294762779 Enrollment ID: I20240302000337 |
| Provider Name | Alan S Muraki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649348608 PECOS PAC ID: 0446387690 Enrollment ID: I20240315001457 |
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 |