SAN JOSE MEDICAL MANAGEMENT, INC. (NPI# 1073699609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073699609 |
| Entity Type | Organization |
| Organization Name | SAN JOSE MEDICAL MANAGEMENT, INC. |
| Other Organization Name | SAN JOSE MEDICAL GROUP ENDOSCOPY SUITE |
| Practice Address |
2585 Samaritan Dr San Jose CA 95124-4107 |
| Mailing Address |
400 Race St San Jose CA 95126-3518 |
| Practice Telephone | 4083571020 |
| Practice Fax Number | 4083571298 |
| Mailing Telephone | 4082783121 |
| Mailing Fax Number | 4082783194 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ERNIE ANGEL WALLERSTEIN (C.E.O.) |
| Authorized Official Telephone | 4082783015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| San Jose Medical Group Endoscopy Suite | Doing Business As Name - Organization |
| Street Address |
2585 SAMARITAN DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598737645 | Katarina Guzman | Internal Medicine | 2585 Samaritan Dr, San Jose, CA 95124-4107 | 2006-02-03 |
| 1306240544 | Sanjay K. Shah, M.d., Incorporated | Clinic/Center | 2585 Samaritan Dr, Ste. 303, San Jose, CA 95124-4107 | 2014-10-17 |
| 1710286398 | Lisa C. Zaba | Dermatology | 2585 Samaritan Dr, San Jose, CA 95124-4107 | 2011-03-21 |
| 1740597368 | Dchs Medical Foundation | Family Medicine | 2585 Samaritan Dr, San Jose, CA 95124-4107 | 2010-09-02 |
| 1245493881 | Jaideep Jaiprakash Iyengar | Orthopaedic Surgery | 2585 Samaritan Dr, San Jose, CA 95124-4107 | 2008-07-03 |
| 1881868537 | Kompal Piplani | Family Medicine | 2585 Samaritan Dr, San Jose, CA 95124-4107 | 2008-04-14 |
| 1376725630 | Mauro B Ruffy | Otolaryngology | 2585 Samaritan Dr, San Jose, CA 95124-4107 | 2007-11-28 |
| 1861671232 | Agheg. M. Yenikomshian, M.d. A Professional Corporation | Specialist | 2585 Samaritan Dr, Suite 302, San Jose, CA 95124-4107 | 2007-11-01 |
| 1326239237 | Nicole D Schneider | Internal Medicine | 2585 Samaritan Dr, San Jose, CA 95124-4107 | 2007-08-06 |
| 1811194509 | Physicians Medical Group of San Jose, Inc. | Non-Pharmacy Dispensing Site | 2585 Samaritan Dr, 2nd Floor, San Jose, CA 95124-4107 | 2007-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285612812 | Endoscopy Center of Silicon Valley Inc. | Clinic/Center | 2410 Samaritan Dr, 101, San Jose, CA 95124 | 2006-01-04 |
| 1598815110 | Executive Endoscopy, Inc. | Clinic/Center | 2100 Forest Ave, Suite 109, San Jose, CA 95128 | 2007-01-12 |
| 1376575860 | South Bay Endoscopy Center A Medical Corporation | Clinic/Center | 455 Oconnor Dr, Suite 340, San Jose, CA 95128-1633 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518592021 | First Surgery Center, Inc. | Clinic/Center | 31625 De Portola Rd Ste 102, Temecula, CA 92592-2770 | 2020-03-04 |
| 1316231020 | Desert View Endoscopy Center, LLC. | Clinic/Center | 12595 Hesperia Rd, Suite 100, Victorville, CA 92395-5882 | 2011-05-31 |
| 1174715445 | Digestive Health Center of Thousand Oaks, LLC | Clinic/Center | 3510 N Moorpark Rd Ste 101, Thousand Oaks, CA 91360-2688 | 2007-08-10 |
| 1619181765 | Lee & Bae Gi Medical Corporation | Clinic/Center | 3200 Wilshire Blvd Ste 101, Los Angeles, CA 90010-1307 | 2007-05-09 |
| 1336292853 | University of California, San Francisco | Clinic/Center | 400 Parnassus Ave, A-655, San Francisco, CA 94143-0338 | 2007-01-19 |
| 1912069832 | Endoscopy Services, Inc | Clinic/Center | 700 Garden View Ct Ste 101, Encinitas, CA 92024-2478 | 2006-12-15 |
| 1457449498 | Augusto Rojas M.d, Inc | Clinic/Center | 11961 Venice Blvd, Los Angeles, CA 90066-3905 | 2006-10-11 |
| 1336247642 | Pasadena Endoscopy Center Inc | Clinic/Center | 55 W Valley St, Pasadena, CA 91105-2015 | 2006-09-20 |
| 1821019738 | Santa Barbara Endoscopy Center LLC | Clinic/Center | 25 W Micheltorena St, Santa Barbara, CA 93101-2509 | 2006-07-23 |
| 1497788145 | Endoscopy Center of Southern California | Clinic/Center | 2336 Santa Monica Blvd Ste 376, Santa Monica, CA 90404-2095 | 2006-07-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.