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SAN JOSE CLINIC, P.A.
NPI 1083846349
Specialist in Jacksonville, FL

Active since August 19, 2009CLIA 10D1024751 · Waiver
2449 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217(904) 256-3330(904) 256-3332 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Jose Clinic, P.a. NPPES

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

SAN JOSE CLINIC, P.A. (NPI 1083846349) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through April 20, 2028 and lists Antoine Kassis, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1083846349
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSAN JOSE CLINIC, P.A.
Location Address2449 UNIVERSITY BLVD WJacksonville, FL 32217-2037
Mailing Address504 Basswood CtJacksonville, FL 32259-4436 · (904) 256-3330 · Fax (904) 256-3332
Phone(904) 256-3330
Fax(904) 256-3332
Organization SubpartNo
Authorized OfficialAntoine KassisMedical Director · (904) 256-3330
Enumeration DateAugust 19, 2009
Last NPPES UpdateFebruary 6, 2025
NPPES CertifiedFebruary 6, 2025
✔ NPI 1083846349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME75962
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.
2449 UNIVERSITY BLVD W, Jacksonville, FL 32217
Open in Google Maps ↗

Other Identifiers 1

Medicaid124628400FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1024751

San Jose Clinic · Jacksonville, FL
Active · expires Apr 20, 2028
CLIA Number10D1024751
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorAntoine Kassis
Laboratory Phone(904) 256-3330
Laboratory LocationSan Jose Clinic2449 University Blvd W, Jacksonville, FL 32217
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

RIVER CITY NEPHROLOGY PLLC
Internal Medicine (Nephrology)
2449 UNIVERSITY BLVD W
JACKSONVILLE, FL 32217
Duval County (904) 730-1225
MR. ANTOINE KASSIS MD
Internal Medicine
2449 UNIVERSITY BLVD W
JACKSONVILLE, FL 32217
Duval County (904) 256-3330

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 San Jose Clinic, P.A.'s NPI number?

The NPI number for San Jose Clinic, P.A. is 1083846349. It was assigned to this organization in the NPPES registry on August 19, 2009.

Where is San Jose Clinic, P.A. located?

San Jose Clinic, P.A. is located at 2449 University Blvd W, Jacksonville, FL 32217. The listed phone number is (904) 256-3330.

What is San Jose Clinic, P.A.'s specialty?

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

Does San Jose Clinic, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1024751) is associated with this NPI, valid through April 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does San Jose Clinic, P.A. accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed and Molina Healthcare list San Jose Clinic, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for San Jose Clinic, P.A. was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.