DR. ALEXANDER LOUIS VAGO (NPI# 1174696041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174696041 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDER LOUIS VAGO |
| Credential | D.P.M. |
| Practice Address |
4155 Moorpark Ave 16 San Jose CA 95117-1714 |
| Practice Telephone | 4082489222 |
| Practice Fax Number | 4082489222 |
| Mailing Telephone | 4082489222 |
| Mailing Fax Number | 4082489222 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000E12220 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
4155 MOORPARK AVE 16 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95117-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972617348 | David L. Joyce Dds A Dental Corp | Dentist | 4155 Moorpark Ave, Suite #17, San Jose, CA 95117-1714 | 2006-08-19 |
| 1205494358 | Delia Mo | Acupuncturist | 4155 Moorpark Ave, San Jose, CA 95117-1714 | 2019-06-04 |
| 1467913434 | Hsing Healthcare, LLC | Acupuncturist | 4155 Moorpark Ave, San Jose, CA 95117-1714 | 2019-03-30 |
| 1578055653 | Shinwon Kim | Acupuncturist | 4155 Moorpark Ave, Ste 20, San Jose, CA 95117 | 2018-06-04 |
| 1801202585 | Michael Tsung-hsiang Chang | Nutritionist | 4155 Moorpark Ave, Suite #7, San Jose, CA 95117-1714 | 2014-07-02 |
| 1750724845 | Chien Ma | Acupuncturist | 4155 Moorpark Ave, Suite 5, San Jose, CA 95117-1714 | 2013-04-09 |
| 1285975128 | Il Hwan Park Chiropractic Professional Corporation | Chiropractor | 4155 Moorpark Ave, Suite 1, San Jose, CA 95117-1714 | 2013-03-01 |
| 1215226238 | Sheena Mcnair | Speech-Language Pathologist | 4155 Moorpark Ave, Suite 1, San Jose, CA 95117-1714 | 2011-03-30 |
| 1215233598 | Son Trang Nguyen Optometric Corporation | Eyewear Supplier (Equipment, not the service) | 4155 Moorpark Ave, Suite 21, San Jose, CA 95117-1714 | 2011-02-03 |
| 1992006258 | Lydia Maria Coolidge | Speech-Language Pathologist | 4155 Moorpark Ave, San Jose, CA 95117-1714 | 2010-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154978385 | Rebecca Giordano St George | Marriage & Family Therapist | 390 Spar Avenue Suite 106, San Jose, CA 95117 | 2019-08-22 |
| 1760035067 | Na Bao Inc | Acupuncturist | 631 Rebecca Way, Apt D, San Jose, CA 95117 | 2019-07-17 |
| 1801364823 | Acupuncture & Healing Inc | Acupuncturist | 4155 Moorpark Ave Ste #13, San Jose, CA 95117 | 2018-11-07 |
| 1689199770 | Youngsu Lyu | Chiropractor | 4010 Moorpark Ave Ste 109, San Jose, CA 95117 | 2017-08-09 |
| 1790139137 | January Villarreal | Speech-Language Pathologist | 4010 Moorpark Ave. #117, San Jose, CA 95117 | 2016-04-22 |
| 1780069187 | Il Hwan Park Chiropractic Clinic | Chiropractor | 4155 Moorpark Avenue, Suite 1, San Jose, CA 95117 | 2015-07-27 |
| 1285077073 | John Lockhart Mcelroy | Family Medicine | 3578 Moultrie Ave., San Diego, CA 95117 | 2013-04-10 |
| 1801134036 | Min Jung Kang | Acupuncturist | 4155 Moorpark Ave Ste 20, San Jose, CA 95117 | 2013-01-23 |
| 1356574420 | Scott Svendsen | Chiropractor | 3531 Stevens Creek Blvd., San Jose, CA 95117 | 2009-08-24 |
| 1316191893 | Christopher Corsa | Dentist | 4010 Moorpark Ave Ste 105, San Jose, CA 95117 | 2008-11-10 |
| Find all providers in zip 95117 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639608896 | Foot & Ankle Care, Inc | Podiatrist | 100 Oconnor Dr Ste 9a, San Jose, CA 95128-1638 | 2017-06-09 |
| 1124112578 | Ann Marie Wotherspoon | Podiatrist | 1425 Fruitdale Ave., San Jose, CA 95128 | 2006-10-02 |
| 1750305868 | Christina Flores | Podiatrist | 3102 Story Rd, San Jose, CA 95127-3815 | 2006-07-26 |
| 1649236399 | Andrew Robert Harrison | Podiatrist | 4986 Cherry Ave, San Jose, CA 95118-2748 | 2006-04-21 |
| 1013901271 | Timothy C Ho | Podiatrist | 3150 Almaden Expy, Ste 231a, San Jose, CA 95118-1250 | 2005-09-02 |
| 1598760373 | Michael Alan Heisman | Podiatrist | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2005-06-17 |
| 1255707766 | Steve Quang Huynh | Podiatrist | 200 Jose Figueres Ave Ste 260, San Jose, CA 95116-1555 | 2015-08-19 |
| 1689859894 | County of Santa Clara | Podiatrist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2008-01-07 |
| 1780720375 | Christina Crum Rude | Podiatrist | 260 International Cir, San Jose, CA 95119-1130 | 2007-01-30 |
| 1972682433 | Richard R Abe | Podiatrist | 280 N Jackson Ave, Ste A, San Jose, CA 95116-1607 | 2006-11-03 |
| Find all providers in SAN JOSE | ||||
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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.