CANCER AND BLOOD CARE OF SAN JOSE INC (NPI# 1720448657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720448657 |
| Entity Type | Organization |
| Organization Name | CANCER AND BLOOD CARE OF SAN JOSE INC |
| Practice Address |
175 N Jackson Ave Suite 209 San Jose CA 95116-1909 |
| Practice Telephone | 4085207919 |
| Practice Fax Number | 4085169985 |
| Mailing Telephone | 4085207919 |
| Mailing Fax Number | 4085169985 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | DR. PRIYA GOMATHI KUMARAVELU (PRESIDENT) |
| Authorized Official Telephone | 4085207919 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
A100993 | CA | Ambulatory Health Care Facilities |
| Street Address |
175 N JACKSON AVE SUITE 209 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659373413 | Naresh K Kapoor | Pediatrics | 175 N Jackson Ave, Ste # 212, San Jose, CA 95116-1909 | 2005-08-11 |
| 1821545146 | Hoang M Nguyen Do Inc | Internal Medicine | 175 N Jackson Ave, Suite 210, San Jose, CA 95116-1909 | 2016-09-02 |
| 1144775198 | Hoang M Nguyen Do Inc | Internal Medicine | 175 N Jackson Ave, Ste 210, San Jose, CA 95116-1909 | 2016-08-19 |
| 1639622699 | Rehabone Medical Group, Inc. | Physical Medicine & Rehabilitation | 175 N Jackson Ave, Ste 109, San Jose, CA 95116-1909 | 2016-07-26 |
| 1962866541 | Sanjay & Archana Bindra, Mds Inc | Internal Medicine | 175 N Jackson Ave, San Jose, CA 95116-1909 | 2016-04-08 |
| 1124489653 | Cathy Resler | Specialist | 175 N Jackson Ave, Suite 209, San Jose, CA 95116-1909 | 2016-03-10 |
| 1235523119 | Jennifer Nani Glass | Dietitian, Registered | 175 N Jackson Ave, Suite #209, San Jose, CA 95116-1909 | 2015-03-27 |
| 1962809939 | Nutriviva.inc | Dietitian, Registered | 175 N Jackson Ave, 209, San Jose, CA 95116-1909 | 2014-11-19 |
| 1770905945 | Thinh Duy Mai M.d., A.p.c. | Psychiatry & Neurology | 175 N Jackson Ave, Suite 209, San Jose, CA 95116-1909 | 2014-01-07 |
| 1497183602 | Jindal Neurology, Inc. | Psychiatry & Neurology | 175 N Jackson Ave, Suite 207, San Jose, CA 95116-1909 | 2013-10-24 |
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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 |
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| 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 |
| 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 |
| 1396949822 | Evergreen Hills Medical Group | Clinic/Center | 2690 S White Rd, Suite 200, San Jose, CA 95148-2076 | 2007-06-11 |
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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.