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SOUTH BAY BRAIN AND SPINE
NPI 1114272978
Specialist in San Jose, CA

Active since July 18, 2012
2577 SAMARITAN DR, SUITE 710, SAN JOSE, CA 95124(408) 358-0133(408) 358-8134 Get Directions Write a Review

NPPES record last updated: July 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Bay Brain And Spine NPPES

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

SOUTH BAY BRAIN AND SPINE (NPI 1114272978) is a healthcare organization registered as a specialist in San Jose, California and active in the NPI registry since July 2012. The organization lists Kenneth S. Blumenfeld, M.d., as its authorized official.

NPPES Registry Identity

NPI1114272978
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTH BAY BRAIN AND SPINE
Location Address2577 SAMARITAN DR, SUITE 710San Jose, CA 95124-4100
Mailing Address2577 Samaritan Dr, Suite 710San Jose, CA 95124-4100 · (408) 358-0133 · Fax (408) 358-8134
Phone(408) 358-0133
Fax(408) 358-8134
Organization SubpartNo
Authorized OfficialKenneth S. BlumenfeldM.d. · (408) 358-0133
Enumeration DateJuly 18, 2012
✔ NPI 1114272978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
2577 SAMARITAN DR, San Jose, CA 95124
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Other Identifiers 2

Medicare UPINF39066CA
Medicare UPIN163894CA

Group Practice 1

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.

DR. MARJORIE FROST MCCRACKEN MD PHD
Pediatrics (Pediatric Gastroenterology)
2577 SAMARITAN DR, STE 815
SAN JOSE, CA 95124
Santa Clara County (408) 358-3573
CLAUDIA REAY M.D.
Pediatrics
2577 SAMARITAN DR, SUITE830
SAN JOSE, CA 95124
Santa Clara County (408) 356-1319
BRYAN J DRUCKER M.D.
Pediatrics
2577 SAMARITAN DR, SUITE 830
SAN JOSE, CA 95124
Santa Clara County (408) 356-1319
AMI A. SHETH DPM
Podiatrist
2577 SAMARITAN DR, SUITE 840
SAN JOSE, CA 95124
Santa Clara County (408) 358-6234
PARVEZ AHMED M.D.
Pediatrics
2577 SAMARITAN DR, SUITE # 725
SAN JOSE, CA 95124
Santa Clara County (408) 358-2755
FRED AND MARY MANSUBI, M.D. A PROFESSIONAL MEDICAL CORPORATION
Pediatrics (Pediatric Allergy/Immunology)
2577 SAMARITAN DR, SUITE 860
SAN JOSE, CA 95124
Santa Clara County (408) 358-2627
NOOR SACHDEV
Psychiatry & Neurology (Neurology)
2577 SAMARITAN DR, SUITE #840
SAN JOSE, CA 95124
Santa Clara County (408) 356-9029
PA MEDICAL GROUP INC
Pediatrics
2577 SAMARITAN DR, SUITE 830
SAN JOSE, CA 95124
Santa Clara County (408) 356-1319

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 Brain And Spine's NPI number?

The NPI number for South Bay Brain And Spine is 1114272978. It was assigned to this organization in the NPPES registry on July 18, 2012.

Where is South Bay Brain And Spine located?

South Bay Brain And Spine is located at 2577 Samaritan Dr Suite 710, San Jose, CA 95124. The listed phone number is (408) 358-0133.

What is South Bay Brain And Spine'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 Brain And Spine was last updated on July 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.