MERIDIAN MEDICAL GROUP PROFESSIONAL CORP
NPI 1457439572
General Practice in San Jose, CA

Q: What is Meridian Medical Group Professional Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since November 02, 2006

1047 E CAPITOL EXPY, SAN JOSE, CA 95121(408) 754-8988(408) 754-8289 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Meridian Medical Group Professional Corp NPPES

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

MERIDIAN MEDICAL GROUP PROFESSIONAL CORP (NPI 1457439572), doing business as Meridian Medical Group, is a healthcare organization registered as a general practice in San Jose, California and active in the NPI registry since November 2006. The organization lists Albert A Gomez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457439572

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameMERIDIAN MEDICAL GROUP PROFESSIONAL CORP

Location Address1047 E CAPITOL EXPYSan Jose, CA 95121-2415

Mailing Address1047 E Capitol ExpySan Jose, CA 95121-2415 · (408) 754-8988 · Fax (408) 754-8289

Phone(408) 754-8988

Fax(408) 754-8289

Organization SubpartNo

Authorized OfficialAlbert A GomezCeo · (408) 754-8988

Enumeration DateNovember 2, 2006

Last NPPES UpdateMarch 29, 2021

NPPES CertifiedMarch 29, 2021

✔ NPI 1457439572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A303360

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1047 E CAPITOL EXPY, San Jose, CA 95121

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Other Names 1

Former Legal Business NameMeridian Medical Group

Other Identifiers 7

OtherZZZ41448ZCA · Blue Shield Number

Other1134228752CA · Npi Number

MedicaidGR0070181CA

Other880357380CA · Tax Id

Other00A303360CA · Medical License Number

MedicaidGR0070180CA

MedicaidGR0070182CA

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

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

NGAN K TRAN PA-C

Physician Assistant (Medical)

1047 E CAPITOL EXPY
SAN JOSE, CA 95121

Santa Clara County (408) 754-8988

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 Meridian Medical Group Professional Corp's NPI number?

The NPI number for Meridian Medical Group Professional Corp is 1457439572. It was assigned to this organization in the NPPES registry on November 2, 2006. The provider was formerly known as Meridian Medical Group.

Where is Meridian Medical Group Professional Corp located?

Meridian Medical Group Professional Corp is located at 1047 E Capitol Expy, San Jose, CA 95121. The listed phone number is (408) 754-8988.

What is Meridian Medical Group Professional Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Meridian Medical Group Professional Corp was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.