GLENN R. ROMUALDO


Address: 260 International Cir, San Jose, CA 95119-1130
Phone: 4089727000

GLENN R. ROMUALDO (NPI# 1730229261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730229261
Entity Type Individual
Full Name GLENN R. ROMUALDO
Credential MD
Practice Address 260 International Cir
San Jose
CA 95119-1130
Mailing Address 1800 Harrison St Fl 7
Oakland
CA 94612-3429
Practice Telephone 4089727000
Mailing Telephone 5106256262
Enumeration Date 2007-02-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
C50863 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00C508630 05

Office Location

Street Address 260 INTERNATIONAL CIR
City SAN JOSE
State CA
Zip Code 95119-1130

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689695090 Alexandra Phuong Tran-perez Internal Medicine 260 International Cir, One North, Medical Two, San Jose, CA 95119-1130 2006-07-21
1114451887 Cuong Cam Ly Pharmacist 260 International Cir, San Jose, CA 95119-1130 2017-04-19
1841724663 Marc Oliver Espartinez Armena Pharmacist 260 International Cir, San Jose, CA 95119-1130 2017-04-18
1467986349 Andy Katsu Nguyen Pharmacist 260 International Cir, San Jose, CA 95119-1130 2017-04-17
1689107187 Dawn Duong Pharmacist 260 International Cir, San Jose, CA 95119-1130 2017-04-11
1447781836 Kyle Le Pharmacist 260 International Cir, San Jose, CA 95119-1130 2017-03-27
1285165852 Loan Nguyen Pharmacist 260 International Cir, San Jose, CA 95119-1130 2017-03-24
1619408507 Marjaneh Hosseani Pharmacist 260 International Cir, One North Pharmacy, San Jose, CA 95119-1130 2017-03-23
1083145205 Thang Cao Huynh Pharmacist 260 International Cir, San Jose, CA 95119-1130 2017-03-21
1649651019 Elaine Lee Pharmacist 260 International Cir, San Jose, CA 95119-1130 2015-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922623594 Julia Angelina Rojas Rehabilitation Counselor 298 A Bernal Rd, San Jose, CA 95119 2020-06-10
1609496215 Kaiser Foundation Hospitals Pharmacy 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 2020-04-23
1104451194 Arthur Warren Hall Counselor 298 A Bernal Road, San Jose, CA 95119 2020-03-10
1992264774 Jennifer Luu Student in an Organized Health Care Education/Training Program 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 2019-03-19
1194209510 Victoria Marques Pharmacist 275 Hospital Parkway, Suite 625, San Jose, CA 95119 2018-09-21
1780123497 Costco Wholesale Corporation Hearing Aid Equipment 6898 Raleigh Road, San Jose, CA 95119 2017-02-14
1437563855 Mark Douglas Zukunft Emergency Medicine 250 Hospital Pkwy Dept Of, San Jose, CA 95119 2014-06-13
1669896338 Paul J. Zuchowski Chiropractic, A Professional Corporation Chiropractor 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 2014-02-14
1700227873 Yu-chien Cheng Internal Medicine 275 Hospital Pkwy Ste 600, San Jose, CA 95119 2013-07-17
1730432014 Tami Otomo Pharmacist 6201 San Ignacio Ave, San Jose, CA 95119 2012-10-24
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104847656 Richard W Starrett Surgery 2512 Samaritan Ct Ste E, San Jose, CA 95124-4002 2006-07-21
1861413320 John Gray Brawley IIi Surgery 751 S. Bascom Avenue Ste 340, Valley Specialty Center, Division of Vascular Surgery, San Jose, CA 95128 2006-07-21
1811994445 Emil A. Anaya Surgery 105 N Bascom Ave, Ste 104, San Jose, CA 95128 2005-06-28
1871627463 Emil A Anaya Md, Inc. A Medical Corporation Surgery 105 N Bascom Ave, Suite 104, San Jose, CA 95128-1811 2007-03-15
1013060672 Vascular Associates of Northern California Surgery 2512 Samaritan Ct Ste E, San Jose, CA 95124-4002 2007-01-18
1235215740 Everett Y. Lam Surgery 260 International Cir, San Jose, CA 95119-1130 2006-10-27
1366463812 Roger M Hayashi Surgery 2512 Samaritan Ct Ste E, San Jose, CA 95124-4002 2006-07-21
1265453724 David W Chang Surgery 2512 Samaritan Ct, Suite E, San Jose, CA 95124-4002 2006-07-21
1942238241 Peter J Schubart Surgery 455 Oconnor Dr, Suite 370, San Jose, CA 95128-1633 2006-06-28
1487691606 Jafar Tay Surgery 105 N Bascom Ave, Ste 104, San Jose, CA 95128 2006-05-31
Find all providers in SAN JOSE

Competitor

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City SAN JOSE
Zip Code 95119

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Dataset Information

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.

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