SOUTH VALLEY MULTI SPECIALTY MEDICAL GROUP INC
NPI 1215991583
Internal Medicine - Cardiovascular Disease in San Jose, CA

Active since April 13, 2006CLIA 05D2073701 · Waiver
173 N MORRISON AVE, SUITE C, SAN JOSE, CA 95126(408) 293-1992(408) 293-6030 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Valley Multi Specialty Medical Group Inc NPPES

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

SOUTH VALLEY MULTI SPECIALTY MEDICAL GROUP INC (NPI 1215991583) is a healthcare organization registered as a cardiovascular disease in San Jose, California and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Costantino T Gallo, President, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215991583
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSOUTH VALLEY MULTI SPECIALTY MEDICAL GROUP INC
Location Address173 N MORRISON AVE, SUITE CSan Jose, CA 95126-2712
Mailing Address173 N Morrison Ave, Suite CSan Jose, CA 95126-2712 · (408) 293-1992 · Fax (408) 293-6030
Fax(408) 293-6030
Organization SubpartNo
Authorized OfficialCostantino T GalloPresident, Ceo · (408) 293-1992
Enumeration DateApril 13, 2006
Last NPPES UpdateDecember 6, 2012
NPI 1215991583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedFamily MedicineTaxonomy 207Q00000X
173 N MORRISON AVE, San Jose, CA 95126

Other Identifiers 1

Medicare ID-Type UnspecifiedZZZ13665ZCA

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

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 05D2073701

South Valley Multi Specialty Medical Group, Inc · San Jose, CA
Active · expires Feb 23, 2028
CLIA Number05D2073701
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorNorman, Lowenbraun, MD
Laboratory Phone(408) 293-1992
Laboratory LocationSouth Valley Multi Specialty Medical Group, Inc173 N. Morrison Ave Ste C, San Jose, CA 95126
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 10

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

Family Medicine
173 N MORRISON AVE, SUITE C
SAN JOSE, CA 95126
Optometrist
173 N MORRISON AVE, STE. E
SAN JOSE, CA 95126
Internal Medicine (Cardiovascular Disease)
173 N MORRISON AVE, SUITE C
SAN JOSE, CA 95126
Internal Medicine (Cardiovascular Disease)
173 N MORRISON AVE, SUITE C
SAN JOSE, CA 95126
Internal Medicine
173 N MORRISON AVE, SUITE D
SAN JOSE, CA 95126
Family Medicine
173 N MORRISON AVE, SUITE D
SAN JOSE, CA 95126
Internal Medicine (Cardiovascular Disease)
173 N MORRISON AVE, SUITE C
SAN JOSE, CA 95126
Clinic/Center
173 N MORRISON AVE, SUITE D
SAN JOSE, CA 95126

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 Valley Multi Specialty Medical Group Inc's NPI number?

The NPI number for South Valley Multi Specialty Medical Group Inc is 1215991583. It was assigned to this organization in the NPPES registry on April 13, 2006.

Where is South Valley Multi Specialty Medical Group Inc located?

South Valley Multi Specialty Medical Group Inc is located at 173 N Morrison Ave Suite C, San Jose, CA 95126. The listed phone number is (408) 293-1992.

What is South Valley Multi Specialty Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does South Valley Multi Specialty Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2073701) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Valley Multi Specialty Medical Group Inc was last updated on December 6, 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.