SAN JOSE MEDICAL GROUP
NPI 1598841215
Internal Medicine in San Jose, CA
- Organization
- Internal Medicine
About SAN JOSE MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for San Jose Medical Group, an internist established in San Jose, California operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1598841215 assigned on October 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. San Jose Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as San Jose Medical Group. The authorized official of this NPI record is Mr. Ernie Angel Wallerstein (C.e.o.)
- NPI
- 1598841215 Verify this NPI
- Provider Legal Name
- SAN JOSE MEDICAL CLINIC, INC.
- Other Organization Name
- SAN JOSE MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 625 LINCOLN AVE SAN JOSE, CA 95126
- Location Phone
- (408) 278-3000
- Mailing Address
- 400 RACE ST SAN JOSE, CA 95126
- Mailing Phone
- (408) 278-3121
- Mailing Fax
- (408) 278-3194
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-27-2006
- Last Update Date
- 10-10-2007
- Code Navigator
An internist like San Jose Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207K00000X | Allopathic & Osteopathic Physicians | Allergy & Immunology | |
| 2 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
| 3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 4 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 5 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | |
| 6 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 7 | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | |
| 8 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 9 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | |
| 10 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 11 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | |
| 12 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | |
| 13 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 14 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
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.
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 |
|---|---|---|---|
| YYY20328Y | MEDICARE ID-TYPE UNSPECIFIED (04) | CA | |
| YYY20328Y | MEDICAID (05) | CA |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN JOSE, CA 95126
SAN JOSE, CA 95126
SAN JOSE, CA 95126
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598841215, enumerated as an "organization" on October 27, 2006.
The provider is located at 625 LINCOLN AVE SAN JOSE, CA 95126 and the phone number is (408) 278-3000.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.