SOUTH BAY PEDIATRICS (NPI# 1528206224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528206224 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY PEDIATRICS |
| Practice Address |
200 Jose Figueres Ave Suite # 435 San Jose CA 95116-1500 |
| Practice Telephone | 4082584244 |
| Practice Fax Number | 4082583338 |
| Mailing Telephone | 4082584244 |
| Mailing Fax Number | 4082583338 |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |
| Authorized Official Name | DR. PRASANNA L KRISHNAMSHETTY (PRESIDENT) |
| Authorized Official Telephone | 4082584244 |
| 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 |
A63379 | CA | Ambulatory Health Care Facilities |
| Street Address |
200 JOSE FIGUERES AVE SUITE # 435 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317818 | Raymond W. Lee | Internal Medicine | 200 Jose Figueres Ave, Ste 245, San Jose, CA 95116-1588 | 2005-06-24 |
| 1932635596 | Gastroenterology Consultants of San Jose | Internal Medicine | 200 Jose Figueres Ave, Suite 170, San Jose, CA 95116-1500 | 2017-05-02 |
| 1144779265 | Silicon Valley Infusion Center | Clinic/Center | 200 Jose Figueres Ave, Suite 103, San Jose, CA 95116-1500 | 2016-09-30 |
| 1801241005 | Lexean Behavioral Health Inc | Psychiatry & Neurology | 200 Jose Figueres Ave, Suite 265, San Jose, CA 95116-1500 | 2016-04-26 |
| 1588056386 | Thuy Tuong Nguyen Md Medical Corporation | Clinic/Center | 200 Jose Figueres Ave, Ste 395, San Jose, CA 95116-1500 | 2015-03-03 |
| 1053703983 | Mobile Docs Inc | Family Medicine | 200 Jose Figueres Ave, 320, San Jose, CA 95116-1500 | 2015-03-02 |
| 1689089559 | Advanced Imaging of Tracy LLC | Radiology | 200 Jose Figueres Ave, Ste 190, San Jose, CA 95116-1586 | 2014-06-30 |
| 1881005221 | Lindsey Bettisworth | Physician Assistant | 200 Jose Figueres Ave, Ste 485, San Jose, CA 95116-1500 | 2014-05-19 |
| 1659612422 | Cdocs Associates, Inc. | Internal Medicine | 200 Jose Figueres Ave, Suite 365, San Jose, CA 95116-1500 | 2013-03-04 |
| 1336492800 | Real Time Neuromonitoring Associates of Ca PC | Specialist | 200 Jose Figueres Ave, Suite 475, San Jose, CA 95116-1500 | 2012-10-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
| Find all providers in zip 95116 | ||||
| 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 |
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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.