ONE STOP MEDICAL GROUP,INC. (NPI# 1427103746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427103746 |
| Entity Type | Organization |
| Organization Name | ONE STOP MEDICAL GROUP,INC. |
| Practice Address |
2179 Tully Rd San Jose CA 95122-1346 |
| Practice Telephone | 4082588050 |
| Practice Fax Number | 4082588180 |
| Mailing Telephone | 4082588050 |
| Mailing Fax Number | 4082588180 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GEORGE E. WETTACH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4082588050 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
C31903 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2179 TULLY RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95122-1346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043846702 | Harmony Holistic Wellness Center LLC | Acupuncturist | 2179 Tully Rd, San Jose, CA 95122-1346 | 2020-03-13 |
| 1265931505 | Van Lam Nguyen | Chiropractor | 2179 Tully Rd, San Jose, CA 95122-1346 | 2018-02-01 |
| 1326447012 | Healtones Medical Clinic | Family Medicine | 2179 Tully Rd, San Jose, CA 95122-1346 | 2014-08-19 |
| 1285065995 | Healtones Medical Clinic | Family Medicine | 2179 Tully Rd, San Jose, CA 95122-1346 | 2013-12-05 |
| 1245515485 | Hung The Vu | Family Medicine | 2179 Tully Rd, San Jose, CA 95122-1346 | 2011-10-19 |
| 1740519727 | Santa Clara Wellness Center | Internal Medicine | 2179 Tully Rd, San Jose, CA 95122-1346 | 2009-12-21 |
| 1780824193 | Sun Ja Park | Chiropractor | 2179 Tully Rd, San Jose, CA 95122-1346 | 2009-02-25 |
| 1376799460 | Un Hui Nam | Anesthesiology | 2179 Tully Rd, San Jose, CA 95122-1346 | 2008-08-08 |
| 1396941829 | Hyun Kwan Kim | Acupuncturist | 2179 Tully Rd, San Jose, CA 95122-1346 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788015 | Vietnam Pharmacy Inc | Pharmacy | 2451 S King Rd Suite A1, San Jose, CA 95122 | 2020-04-06 |
| 1346894524 | Amy Le Tran | Counselor | Mekong Community Center, 2203 Tully Road, San Jose, CA 95122 | 2019-07-26 |
| 1164980439 | Tri Starr Home Care, LLC | PACE Provider Organization | 1609 Flanigan Dr., Unit H, Unit H, San Jose, CA 95122 | 2019-03-06 |
| 1740761196 | Aileen Phu | Acupuncturist | 1271 Story Rd Ste 50, San Jose, CA 95122 | 2018-08-23 |
| 1740775816 | Urgent Care Clinic of Northern Ca Inc | Clinic/Center | 999 Story Road, Suite 9021, San Jose, CA 95122 | 2018-06-29 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1497113153 | Jamealle Spain | Case Manager/Care Coordinator | 2070 Lucretia Ave #310, San Jose, CA 95122 | 2016-02-09 |
| 1770915035 | Thinh Tran | Dentist | 919 Story Rd Unit 1128, San Jose, CA 95122 | 2013-08-08 |
| 1356591333 | Asian American Recovery Services | Counselor | 1340 Tully Rd., San Jose, CA 95122 | 2008-09-25 |
| 1821246505 | Samara Rachel Stone | Marriage & Family Therapist | 1340 Tully Road, Suite 304, San Jose, CA 95122 | 2008-09-05 |
| Find all providers in zip 95122 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689656886 | Patel Medical Corporation | Family Medicine | 200 Jose Figueres Ave Ste 340, Ste 210, San Jose, CA 95116-1590 | 2005-11-15 |
| 1083994487 | Jeanine Phan | Family Medicine | 275 Hospital Pkwy, Suite 325, San Jose, CA 95119-1106 | 2011-08-17 |
| 1396037545 | Alex A Mirabadi | Family Medicine | 299 Stockton Ave, San Jose, CA 95126-2763 | 2011-05-06 |
| 1215237276 | Rakhi Yadav | Family Medicine | 455 Oconnor Dr, Suite 300, San Jose, CA 95128-1633 | 2010-10-25 |
| 1538245105 | Frances Sun | Family Medicine | 455 Oconnor Dr, Ste 210, San Jose, CA 95128-1633 | 2006-10-27 |
| 1295720613 | Alfonso F Banuelos | Family Medicine | 751 S Bascom Ave, Hospital Administration, San Jose, CA 95128-2604 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516996 | Natasha Harmis | Family Medicine | 1608 Lawndale Rd, El Cajon, CA 92019-3776 | 2020-10-21 |
| 1073135406 | California Gerontology Clinic | Family Medicine | 1042 S Kingsley Dr Ste 3, Los Angeles, CA 90006-2408 | 2020-05-07 |
| 1225657331 | Samantha Lillian Escalera | Family Medicine | 9608 Planter St, Pico Rivera, CA 90660-4743 | 2020-04-09 |
| 1164058897 | Amani A Osman | Family Medicine | 9753 Holder St, Cypress, CA 90630-4004 | 2020-03-13 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1013549914 | Vertini Medical Group Inc | Family Medicine | 1001 W Carson St Ste S, Torrance, CA 90502-2051 | 2020-02-07 |
| 1295297463 | Cedars Family Medicine Inc | Family Medicine | 18021 Sky Park Cir Ste G, Irvine, CA 92614-6569 | 2019-04-04 |
| 1811455967 | Hope Geriatric Medical Center Inc | Family Medicine | 9 Coursan, Laguna Niguel, CA 92677-8902 | 2019-03-07 |
| 1245702174 | Jonah Medical Group Inc | Family Medicine | 20627 Golden Springs Dr Ste D, Walnut, CA 91789-4814 | 2018-12-17 |
| 1104392885 | Wilshire Connected Care | Family Medicine | 277 South St Ste S, San Luis Obispo, CA 93401-5039 | 2018-10-19 |
| Find all providers with the same taxonomy | ||||
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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.