DBA: PEDIATRIC ASSOCIATES
NPI 1134279904
Pediatrics in San Jose, CA

NPI Status: Active since January 12, 2007

Contact Information

2577 SAMARITAN DR
SUITE 830
SAN JOSE, CA
ZIP 95124
Phone: (408) 356-1319
Fax: (408) 356-6296

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Pediatrics

About DBA: PEDIATRIC ASSOCIATES

This page provides the complete NPI Profile along with additional information for Dba: Pediatric Associates, a pediatrician established in San Jose, California operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1134279904 assigned on January 2007. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Dba: Pediatric Associates. The authorized official of this NPI record is Bryan J Drucker Md (Ceo)

NPI: 1134279904
Provider Legal Name: PA MEDICAL GROUP INC
Other Organization Name: DBA: PEDIATRIC ASSOCIATES
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 2577 SAMARITAN DR SUITE 830 SAN JOSE, CA 95124
Location Phone: (408) 356-1319
Location Fax: (408) 356-6296
Mailing Address: 2577 SAMARITAN DR SUITE 830 SAN JOSE, CA 95124
Mailing Phone: (408) 356-1319
Mailing Fax: (408) 356-6296
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-12-2007
Last Update Date: 07-16-2008
Code Navigator

A pediatrician like Dba: Pediatric Associates is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pediatrics
Taxonomy Code: 208000000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: BRYAN J DRUCKER MD
Authorized Official Title: CEO
Authorized Official Phone: (408) 356-1319

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
G84517	OTHER (01)	CA	STATE LICENSE
A51788	OTHER (01)	CA	STATE LICENSE
A70876	OTHER (01)	CA	STATE LICENSE
G77403	OTHER (01)	CA	STATE LICENSE
A64948	OTHER (01)	CA	STATE LICENSE

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	3	4	2	7	9	9	0	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	6	4	4	7	18	9	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 4 + 7 + 1 + 8 + 9 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4									4

The NPI number 1134279904 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

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

DR. ROBERT S MASTMAN M.D.

Ophthalmology

2577 SAMARITAN DR
SUITE 740
SAN JOSE, CA
ZIP 95124

About DBA: PEDIATRIC ASSOCIATES

Location Map

Specialty - Primary Taxonomy

Pediatrics

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

Insurance Plans Accepted

Medicare

Medicaid

Authorized Official

BRYAN J DRUCKER MD

Additional Identifiers

Reviews for DBA: PEDIATRIC ASSOCIATES

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is PA MEDICAL GROUP INC's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does PA MEDICAL GROUP INC accept?