SERES PRIME HEALTHCARE (NPI# 1306483839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306483839 |
| Entity Type | Organization |
| Organization Name | SERES PRIME HEALTHCARE |
| Practice Address |
841 Blossom Hill Rd Ste 215 San Jose CA 95123-2704 |
| Practice Telephone | 4086297095 |
| Practice Fax Number | 4082818235 |
| Mailing Telephone | 4086297095 |
| Mailing Fax Number | 4082818235 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | DR. DANIEL J REYES-VILLA (PRESIDENT) |
| Authorized Official Telephone | 4087020991 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
841 BLOSSOM HILL RD STE 215 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295858579 | Jorge V. Contreras, M.d., Apc | Clinic/Center | 841 Blossom Hill Rd Ste 215, San Jose, CA 95123-2704 | 2007-04-09 |
| 1013136563 | Daniel J Reyes-villa | Family Medicine | 841 Blossom Hill Rd Ste 215, San Jose, CA 95123-2704 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
| Find all providers in zip 95123 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336647114 | Stanford Employer Health Clinics | Clinic/Center | 1650 Technology Dr, San Jose, CA 95110-3809 | 2018-01-26 |
| 1740793090 | Juan C Carrillo Md A Professional Corporation | Clinic/Center | 2880 Story Rd Fl 2, San Jose, CA 95127-3942 | 2017-11-08 |
| 1740670090 | Nayyara Dawood M.d. Pediatrics Corp. | Clinic/Center | 275, O'connor Drive, Suite C, San Jose, CA 95128-1657 | 2015-01-26 |
| 1871998245 | Fardis Shahrivar, M.d. Inc. | Clinic/Center | 200 Jose Figueres Ave Ste 295, San Jose, CA 95116-1590 | 2014-10-28 |
| 1316358260 | El Dorado Community Service Ecnter | Clinic/Center | 804-808 Julian St, San Jose, CA 95113 | 2014-05-14 |
| 1235575333 | Thang Duc Tran, Md | Clinic/Center | 1569 Lexann Ave Ste 114, San Jose, CA 95121-1794 | 2013-05-15 |
| 1154588515 | Abellera Medical Group, Inc. | Clinic/Center | 2350 Mckee Rd Ste 1, San Jose, CA 95116-1617 | 2008-05-21 |
| 1346427986 | County of Santa Clara | Clinic/Center | 750 S. Bascom Ave, San Jose, CA 95128-2603 | 2008-01-25 |
| 1295858579 | Jorge V. Contreras, M.d., Apc | Clinic/Center | 841 Blossom Hill Rd Ste 215, San Jose, CA 95123-2704 | 2007-04-09 |
| 1497855696 | County of Santa Clara | Clinic/Center | 2100 Little Orchard, Vhc At Emergency Housing Consortium, San Jose, CA 95125-2604 | 2006-09-25 |
| 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.