DR. RANDALL E. NELSON (NPI# 1780762187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780762187 |
| Entity Type | Individual |
| Full Name | DR. RANDALL E. NELSON |
| Credential | M.D. |
| Practice Address |
5919 Porto Alegre Dr San Jose CA 95120-1752 |
| Practice Telephone | 4082682009 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | G44993 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790138782 | Randall Colby Nelson | Family Medicine | 305 W College St, Americus, GA 31709-3932 | 2016-07-14 |
| 1700045291 | Randall Scott Nelson | Counselor | 325 9th Ave, Seattle, WA 98104-2499 | 2008-06-09 |
| 1477736908 | Randall J. Nelson | Chiropractor | 8471 Turnpike Drive, Suite 200, Westminster, CO 80031-7027 | 2007-12-06 |
| 1588744296 | Randall K. Nelson | Optometrist | 13955 E Mississippi Ave, Aurora, CO 80012-3692 | 2006-10-17 |
| 1770507519 | Randall R. Nelson | Internal Medicine | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2006-07-26 |
| 1215997812 | Randall L. Nelson | Anesthesiology | 919 E 32nd St, Austin, TX 78705-2703 | 2006-03-27 |
| Street Address |
5919 PORTO ALEGRE DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95120-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386117554 | Karen Patterson | Speech-Language Pathologist | 6052 Cecala Dr, San Jose, CA 95120 | 2019-01-09 |
| 1881116705 | Geetha M Narayanan | Marriage & Family Therapist | 1051 Mountain Shadows Road, San Jose, CA 95120 | 2017-07-12 |
| 1164849592 | Vicente Ceja | Physical Therapist | 6155 Almaden Expy., # 150, San Jose, CA 95120 | 2014-03-24 |
| 1881018562 | Kirsten Cooper | Acupuncturist | 6055 Meridian Ave Ste 30, San Jose, CA 95120 | 2014-02-14 |
| 1699034587 | Mahboobe Ahmadi | Speech-Language Pathologist | 6554 Mcabee Rd., San Jose, CA 95120 | 2012-05-11 |
| 1679860142 | Nicole L Lewis | Family Medicine | 6475 Camden Ave Ste 105, San Jose, CA 95120 | 2011-07-06 |
| 1659677243 | Sundus Ali | Pediatrics | 6489 Camden Ave Ste 102, San Jose, CA 95120 | 2011-01-31 |
| 1851513659 | Abir Tadros | Dentist | 1041 Mazzone Dr., San Jose, CA 95120 | 2007-05-02 |
| 1053472365 | Clara Nancy Andirious | Dentist | 6472 Camden Ave., Suite 100, San Jose, CA 95120 | 2006-12-12 |
| 1104922384 | Timothy Tuan Lai | Dentist | 5945 Almaden Expressway, Suite #160, San Jose, CA 95120 | 2006-09-15 |
| Find all providers in zip 95120 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215407218 | Vascular and Endovascular Surgery, PC | Surgery | 2505 Samaritan Dr Ste 503, San Jose, CA 95124-4015 | 2018-12-03 |
| 1689095077 | Magnus Eric Kolbeinsson | Surgery | 4857 Rahway Dr, San Jose, CA 95111-3843 | 2014-01-02 |
| 1427493691 | Nhan Huynh | Surgery | 4757 Poston Dr, San Jose, CA 95136-3312 | 2013-05-01 |
| 1982953766 | Jin Y. Lee. Md. Inc. | Surgery | 100 O'connor Dr. #12, San Jose, CA 95128 | 2012-09-07 |
| 1659672160 | Amy Gonsier, M.d., Inc. | Surgery | 2025 Forest Ave Ste 8, San Jose, CA 95128-4806 | 2010-11-15 |
| 1629392022 | Harrison James Kornfield | Surgery | 455 Navaro Way, #108, San Jose, CA 95134 | 2010-03-15 |
| 1871701292 | Rodrigo Rivera Leon | Surgery | 810 Saratoga Ave, N-104, San Jose, CA 95129-2572 | 2007-05-18 |
| 1881749661 | Samaritan Surgical Clinic Inc | Surgery | 2505 Samaritan Dr #301, San Jose, CA 95124 | 2007-01-24 |
| 1043370505 | Victor Wh Tsang | Surgery | 2395 Montpelier Drive, Suite 5, San Jose, CA 95116 | 2006-12-12 |
| 1902979370 | Richard Schnabel | Surgery | 2505 Samaritan Dr Ste 504, San Jose, CA 95124-4014 | 2006-11-15 |
| 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.