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PHYSICIANS MEDICAL GROUP OF SAN JOSE, INC.
NPI 1073648739
Non-Pharmacy Dispensing Site in San Jose, CA

Active since February 22, 2007
227 N JACKSON AVE, SAN JOSE, CA 95116(408) 347-2060 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Physicians Medical Group Of San Jose, Inc. NPPES

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

PHYSICIANS MEDICAL GROUP OF SAN JOSE, INC. (NPI 1073648739) is a healthcare organization registered as a non-pharmacy dispensing site in San Jose, California and active in the NPI registry since February 2007. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1073648739
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePHYSICIANS MEDICAL GROUP OF SAN JOSE, INC.
Location Address227 N JACKSON AVESan Jose, CA 95116-1603
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(408) 347-2060
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateFebruary 22, 2007
Last NPPES UpdateOctober 22, 2012
✔ NPI 1073648739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in CA · BL2431966
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
227 N JACKSON AVE, San Jose, CA 95116
Open in Google Maps ↗

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.

VERITY MEDICAL FOUNDATION
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 278-3000
HENRY WEINSTOCK M.D.
Family Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 871-3400
RUBIYA KAUSAR M.D.
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 871-3400
DR. RASIK KANSARA M.D.
Internal Medicine (Gastroenterology)
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 871-3400
BERNARD LENWOOD HAYMAN M.D.
Specialist
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 347-2030
VINCENT LIU M.D.
Internal Medicine (Pulmonary Disease)
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 278-3000
OSAMA LAM M.D.
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 871-3400
COUNTY OF SANTA CLARA
Clinic/Center (Federally Qualified Health Center (FQHC))
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (888) 334-1000

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 Physicians Medical Group Of San Jose, Inc.'s NPI number?

The NPI number for Physicians Medical Group Of San Jose, Inc. is 1073648739. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Physicians Medical Group Of San Jose, Inc. located?

Physicians Medical Group Of San Jose, Inc. is located at 227 N Jackson Ave, San Jose, CA 95116. The listed phone number is (408) 347-2060.

What is Physicians Medical Group Of San Jose, Inc.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Physicians Medical Group Of San Jose, Inc. was last updated on October 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.