SVETLANA DANI MD INC (NPI# 1427676873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427676873 |
| Entity Type | Organization |
| Organization Name | SVETLANA DANI MD INC |
| Other Organization Name | SKYLINE SPORTS MEDICINE |
| Practice Address |
2430 Samaritan Dr San Jose CA 95124-3907 |
| Mailing Address |
703 Duncanville Ct Campbell CA 95008-3145 |
| Practice Telephone | 4085593888 |
| Mailing Telephone | 9172872312 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | SVETLANA DANI (OWNER) |
| Authorized Official Telephone | 9172872312 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Skyline Sports Medicine | Doing Business As Name - Organization |
| Street Address |
2430 SAMARITAN DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245247196 | San Jose Sports Medicine & Orthopedics | Specialist | 2430 Samaritan Dr, San Jose, CA 95124-3907 | 2006-08-02 |
| 1316339112 | Orthosynthesis Inc. | Orthopaedic Surgery | 2430 Samaritan Dr, San Jose, CA 95124-3907 | 2015-03-03 |
| 1841571411 | Pamela Mehta | Orthopaedic Surgery | 2430 Samaritan Dr, San Jose, CA 95124-3907 | 2011-09-08 |
| 1982925111 | Grady L Jeter M D Inc | Orthopaedic Surgery | 2430 Samaritan Dr, San Jose, CA 95124-3907 | 2010-06-22 |
| 1821125386 | Martin Trieb, M.d., Inc. | Specialist | 2430 Samaritan Dr, San Jose, CA 95124-3907 | 2007-02-28 |
| 1427135359 | Deborah A. Faryniarz | Orthopaedic Surgery | 2430 Samaritan Dr, San Jose, CA 95124-3907 | 2006-10-31 |
| 1760584510 | Grady Lynn Jeter | Specialist | 2430 Samaritan Dr, San Jose, CA 95124-3907 | 2006-09-02 |
| 1215949110 | Leo B Semkiw | Specialist | 2430 Samaritan Dr, San Jose, CA 95124-3907 | 2006-08-12 |
| 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 | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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://www.theabfm.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 |
|---|---|---|---|---|
| 1225087984 | Robert S Nishime | Family Medicine | 280 Jackson St, San Jose, CA 95112-3256 | 2006-05-09 |
| 1083142582 | Marisa Yanez Jayakar | Family Medicine | 455 Oconnor Dr Ste 210, San Jose, CA 95128-1632 | 2017-05-27 |
| 1194139253 | David Shin | Family Medicine | 455 Oconnor Dr, Suite 250, San Jose, CA 95128 | 2014-06-17 |
| 1306281225 | Naomi Lena Koester | Family Medicine | 2400 Moorpark Ave Ste 300, San Jose, CA 95128 | 2013-05-06 |
| 1124230008 | Robert Laurence Kronisch | Family Medicine | San Jose State University Student Health Ctr, One Washington Square, San Jose, CA 95192-0037 | 2007-05-04 |
| 1053497685 | Michael Henehan | Family Medicine | 455 Oconnor Dr, Ste 210, San Jose, CA 95128-1633 | 2006-10-27 |
| 1689623498 | Robert S Nishime Md Inc | Family Medicine | 280 Jackson St, San Jose, CA 95112-3256 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875570 | Nader Sobh Inc | Family Medicine | 11740 San Vicente Blvd Ste 205, Los Angeles, CA 90049-6610 | 2020-06-15 |
| 1124596010 | Cam Md | Family Medicine | 1968 S Coast Hwy # 401, Laguna Beach, CA 92651-3681 | 2018-11-08 |
| 1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
| 1114313616 | Michelle Sriwongtong | Family Medicine | 834 Castro St, 3, San Francisco, CA 94114-2858 | 2015-04-10 |
| 1225433006 | Harut Madatovian | Family Medicine | 2595 E Washington Blvd Ste 106, Pasadena, CA 91107-1409 | 2014-10-23 |
| 1760801880 | Kyle William Meyer | Family Medicine | 24910 Las Brisas Rd Ste 105, Murrieta, CA 92562 | 2014-04-16 |
| 1720403553 | Dianne Longo | Family Medicine | 1319 Evergreen Ave, Apt N2, Fullerton, CA 92835-2063 | 2014-03-03 |
| 1255760633 | Steven William Marles | Family Medicine | 4265 Tapestry Way, Turlock, CA 95382-7448 | 2013-11-05 |
| 1497098909 | Joshua David Sampson | Family Medicine | 2299 Post St Ste 107, San Francisco, CA 94115-3460 | 2013-04-03 |
| 1699015529 | Andrew Saleh | Family Medicine | 1370 Rosecrans St Ste A, San Diego, CA 92106-2676 | 2013-03-01 |
| 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.