METABOLIC NUTRITION PROGRAM (NPI# 1720292287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720292287 |
| Entity Type | Organization |
| Organization Name | METABOLIC NUTRITION PROGRAM |
| Practice Address |
2505 Samaritan Drive Suite 405 San Jose CA 95124 |
| Practice Telephone | 4083585326 |
| Practice Fax Number | 4083566923 |
| Mailing Telephone | 4083585326 |
| Mailing Fax Number | 4083566923 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JUDI TURETZKY (PROGRAM MANAGER) |
| Authorized Official Telephone | 4083585326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | METABOLIC NUTRITION PROGRAM OF THE BERKSHIRES, INC. | 25 Henry Ave., Pittsfield, MA 01201 |
| Street Address |
2505 SAMARITAN DRIVE SUITE 405 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750304101 | Abe M Piramoon | Surgery | 2505 Samaritan Drive, Ste 508, San Jose, CA 95124 | 2006-07-26 |
| 1265856124 | M Reza Rohani Md Facs Inc | Surgery | 2505 Samaritan Drive, Ste 504, San Jose, CA 95124-4014 | 2014-02-13 |
| 1023296548 | Jerry Mercado | Pediatrics | 2505 Samaritan Drive, Suite 304, San Jose, CA 95124-4006 | 2008-02-06 |
| 1205046745 | Franklin A Rumore M.d., Inc. | Psychiatry & Neurology | 2505 Samaritan Drive, Suite 603, San Jose, CA 95124-4017 | 2007-05-23 |
| 1548472491 | Wilbur Gordon Walker Jr. | Psychiatry & Neurology | 2505 Samaritan Drive, Suite 501, San Jose, CA 95124 | 2007-05-04 |
| 1033245584 | Latha B Vrittamani | Pediatrics | 2505 Samaritan Drive, Ste 607, San Jose, CA 95124 | 2007-02-26 |
| 1639219553 | John Douglas Condie Jr. | Surgery | 2505 Samaritan Drive, Suite 601, San Jose, CA 95124-4017 | 2007-02-08 |
| 1427154541 | Claire M Del Signore | Pediatrics | 2505 Samaritan Drive, Ste 607, San Jose, CA 95124 | 2006-09-15 |
| 1538273073 | Michael C Kushlan | Internal Medicine | 2505 Samaritan Drive, Suite # 502, San Jose, CA 95124-4014 | 2006-08-19 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275630816 | Charles Sheptin, Md, Inc. | Clinic/Center | 1792 Kirkmont Dr, San Jose, CA 95124-1235 | 2006-09-17 |
| 1740747427 | Srilakshmi Vemulakonda, Md Inc | Clinic/Center | 225 N Jackson Ave, San Jose, CA 95116-1603 | 2019-02-28 |
| 1649701384 | Uberwoundcare Inc | Clinic/Center | 2880 Zanker Rd, Suite 203, San Jose, CA 95134-2117 | 2017-03-24 |
| 1952857823 | Pacific Regenerative and Interventional Sports Medicine | Clinic/Center | 6080 Hellyer Ave, Suite 100, San Jose, CA 95138-1052 | 2016-08-30 |
| 1720448657 | Cancer and Blood Care of San Jose Inc | Clinic/Center | 175 N Jackson Ave, Suite 209, San Jose, CA 95116-1909 | 2016-03-04 |
| 1275878274 | Steven P. Vo, M.d., Inc. | Clinic/Center | 2114 Senter Rd, Ste 10, San Jose, CA 95112-2608 | 2012-12-01 |
| 1841598323 | Cardiology Clinic of Northern California | Clinic/Center | 969 Story Rd, Suite 6066, San Jose, CA 95122-2690 | 2011-03-07 |
| 1376869404 | Michael M Gold Md A Professional Medical Corporation | Clinic/Center | 2585 Samaritan Dr Ste 303, San Jose, CA 95124-4107 | 2010-04-14 |
| 1942526066 | David S. Hirschfeld, M.d., Inc. | Clinic/Center | 2585 Samaritan Dr Ste 303, San Jose, CA 95124-4107 | 2010-04-14 |
| 1215137963 | Jerry A. Hanson, M.d. A Professional Corporation | Clinic/Center | 2030 Forest Ave, Ste. 210, San Jose, CA 95128-4833 | 2007-07-20 |
| 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.