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SOUTH BAY CARDIOVASCULAR MEDICAL GROUP, INC
NPI 1003148073
Specialist in San Jose, CA

Active since February 02, 2010
105 N BASCOM AVE, SUITE 204, SAN JOSE, CA 95128(408) 918-0400(408) 286-2922 Get Directions Write a Review

NPPES record last updated: August 30, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Bay Cardiovascular Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH BAY CARDIOVASCULAR MEDICAL GROUP, INC (NPI 1003148073) is a healthcare organization registered as a specialist in San Jose, California and active in the NPI registry since February 2010. The organization lists Mohammad Shenasa, Owner, as its authorized official.

NPPES Registry Identity

NPI1003148073
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTH BAY CARDIOVASCULAR MEDICAL GROUP, INC
Location Address105 N BASCOM AVE, SUITE 204San Jose, CA 95128-1811
Mailing Address105 N Bascom Ave, Suite 204San Jose, CA 95128-1811 · (408) 918-0400 · Fax (408) 286-2922
Phone(408) 918-0400
Fax(408) 286-2922
Organization SubpartNo
Authorized OfficialMohammad ShenasaOwner · (408) 918-0400
Enumeration DateFebruary 2, 2010
Last NPPES UpdateAugust 30, 2017
✔ NPI 1003148073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A50310
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
105 N BASCOM AVE, San Jose, CA 95128
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTERVENTIONAL RADIOLOGY COVERAGE INC
Specialist
105 N BASCOM AVE, SUITE 104
SAN JOSE, CA 95128
Santa Clara County (408) 918-0405
DR. ALEXANDER D DOAN MD
Internal Medicine (Nephrology)
105 N BASCOM AVE, #103
SAN JOSE, CA 95128
Santa Clara County (408) 998-2890
INTERVENTIONAL VASCULAR INSTITUTE OF SAN JOSE, LLC
Radiology (Vascular & Interventional Radiology)
105 N BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 918-0405
VISAKHA GOONEWARDENA M.D
Internal Medicine
105 N BASCOM AVE, SUITE 202
SAN JOSE, CA 95128
Santa Clara County (408) 993-1500
JOCELYN THUY ANH NGUYEN DO
Family Medicine
105 N BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 780-4667
DR. ARASH M PADIDAR MD
Radiology (Vascular & Interventional Radiology)
105 N BASCOM AVE, STE 104
SAN JOSE, CA 95128
Santa Clara County (408) 918-0405
IR SOLUTIONS INC MEDICAL CORP
Radiology (Vascular & Interventional Radiology)
105 N BASCOM AVE, SUITE 104
SAN JOSE, CA 95128
Santa Clara County (408) 418-2151
BASCOM PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
105 N BASCOM AVE, STE 101
SAN JOSE, CA 95128
Santa Clara County (408) 995-6020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Bay Cardiovascular Medical Group, Inc's NPI number?

The NPI number for South Bay Cardiovascular Medical Group, Inc is 1003148073. It was assigned to this organization in the NPPES registry on February 2, 2010.

Where is South Bay Cardiovascular Medical Group, Inc located?

South Bay Cardiovascular Medical Group, Inc is located at 105 N Bascom Ave Suite 204, San Jose, CA 95128. The listed phone number is (408) 918-0400.

What is South Bay Cardiovascular Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for South Bay Cardiovascular Medical Group, Inc was last updated on August 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.