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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: July 19, 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
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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

BERNARD LENWOOD HAYMAN M.D.
Specialist
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 347-2030
DEAN M. DIDECH M.D.
Pediatrics
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 347-2030
CHARLES BRUHN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 278-3003
SARAH VIAGGI RD
Dietitian, Registered
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 347-2348
CRAIG ROTHBACH M.D.
Pediatrics
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 347-2030
ANTHONY IANTOSCA M.D.
Ophthalmology
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 347-2070
PEI-HUA (PEGGY) LU M.D.
Internal Medicine (Hematology & Oncology)
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 347-2190
HARVEY SACHS M.D.
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 278-3003
MR. TIMOTHY EARL WILEY RDO
Technician/Technologist
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 729-7115
DR. CAROLINE LADINES PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 347-2114
MISTY MALLARI R.N.
Registered Nurse
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 347-2094
JACK ACKERMAN DO
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 347-2002
VERITY MEDICAL FOUNDATION
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 278-3000
DINESH BHUVA M.D.
Orthopaedic Surgery
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 347-2090
DR. RASIK KANSARA M.D.
Internal Medicine (Gastroenterology)
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 871-3400
OSAMA LAM M.D.
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 871-3400
MARINA CHECHELNITSKY M.D.
Ophthalmology
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 871-5254
ARTHUR FELDMAN M.D.
Internal Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 871-3400
DR. JOSHUA DAVID LOPEZ D.O.
Family Medicine
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 871-3400
MARIA S GOVORKOVA M.D.
Ophthalmology
227 N JACKSON AVE
SAN JOSE, CA 95116
Santa Clara County (408) 871-5254

Frequently Asked Questions

What is PHYSICIANS MEDICAL GROUP OF SAN JOSE, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1073648739, enumerated as an "organization" on February 22, 2007.

Where is the provider located?

The provider is located at 227 N JACKSON AVE SAN JOSE, CA 95116 and the phone number is (408) 347-2060.

What is the provider's specialty?

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.