SANTA CLARA MEDICAL GROUP INC
NPI 1306918461
Family Medicine in San Jose, CA

Active since November 14, 2006
2040 FOREST AVE STE 5, SAN JOSE, CA 95128(408) 241-2900(408) 244-1696 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Santa Clara Medical Group Inc NPPES

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

SANTA CLARA MEDICAL GROUP INC (NPI 1306918461) is a healthcare organization registered as a family medicine in San Jose, California and active in the NPI registry since November 2006. The organization lists Dhanu Kapoor, President, as its authorized official.

NPPES Registry Identity

NPI1306918461
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSANTA CLARA MEDICAL GROUP INC
Location Address2040 FOREST AVE STE 5San Jose, CA 95128-4816
Mailing Address2040 Forest Ave Ste 5San Jose, CA 95128-4816 · (408) 241-2900 · Fax (408) 244-1696
Fax(408) 244-1696
Organization SubpartNo
Authorized OfficialDhanu KapoorPresident · (408) 241-2900
Enumeration DateNovember 14, 2006
Last NPPES UpdateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
✔ NPI 1306918461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A80435
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2040 FOREST AVE STE 5, San Jose, CA 95128

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Santa Clara Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Santa Clara Medical Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1942212758
2040 FOREST AVE STE 5
San Jose, CA 95128
(408) 241-2900
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Santa Clara Medical Group Inc's NPI number?

The NPI number for Santa Clara Medical Group Inc is 1306918461. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Santa Clara Medical Group Inc located?

Santa Clara Medical Group Inc is located at 2040 Forest Ave Ste 5, San Jose, CA 95128. The listed phone number is (408) 241-2900.

What is Santa Clara Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Santa Clara Medical Group Inc enrolled in Medicare?

Yes. Santa Clara Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Santa Clara Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Santa Clara Medical Group Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Santa Clara Medical Group Inc was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.