SOUTH BAY SPORTS AND PREVENTIVE MEDICINE ASSOCIATES, INC. - NPI 1811126097 - Non-Pharmacy Dispensing Site in San Jose, CA

Q: What is South Bay Sports And Preventive Medicine Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

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About South Bay Sports And Preventive Medicine Associates, Inc. NPPES

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

SOUTH BAY SPORTS AND PREVENTIVE MEDICINE ASSOCIATES, INC. (NPI 1811126097) is a healthcare organization registered as a non-pharmacy dispensing site in San Jose, California and active in the NPI registry since July 2009. The organization lists Chris E Chung, Owner/treasurer, as its authorized official.

NPPES Registry Identity

NPI1811126097

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameSOUTH BAY SPORTS AND PREVENTIVE MEDICINE ASSOCIATES, INC.

Location Address455 OCONNOR DRIVE, SUITE 150San Jose, CA 95128

Mailing Address455 Oconnor Drive, Suite 150San Jose, CA 95128 · (408) 293-7767 · Fax (408) 294-6595

Phone(408) 293-7767

Fax(408) 294-6595

Organization SubpartNo

Authorized OfficialChris E ChungOwner/treasurer · (408) 293-7767

Enumeration DateJuly 8, 2009

✔ NPI 1811126097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in CA · A54870

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

455 OCONNOR DRIVE, San Jose, CA 95128

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Other Identifiers 2

Medicare PINZZZ04703ZCA

Medicare UPING59273CA

Other Providers at the Same Location NPPES 3

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

SOUTH BAY SPORTS AND PREVENTIVE MEDICINE ASSOCIATES, INC.

Non-Pharmacy Dispensing Site

455 OCONNOR DRIVE, SUITE 150
SAN JOSE, CA 95128

Santa Clara County (408) 293-7767

SOUTH BAY SPORTS AND PREVENTIVE MEDICINE ASSOCIATES, INC.

Non-Pharmacy Dispensing Site

455 OCONNOR DRIVE, SUITE 150
SAN JOSE, CA 95128

Santa Clara County (408) 293-7767

DR. HUGH GYLNN WALSH MD

Surgery

455 OCONNOR DRIVE, #370
SAN JOSE, CA 95128

Santa Clara County (408) 297-5775

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 Bay Sports And Preventive Medicine Associates, Inc.'s NPI number?

The NPI number for South Bay Sports And Preventive Medicine Associates, Inc. is 1811126097. It was assigned to this organization in the NPPES registry on July 8, 2009.

Where is South Bay Sports And Preventive Medicine Associates, Inc. located?

South Bay Sports And Preventive Medicine Associates, Inc. is located at 455 Oconnor Drive Suite 150, San Jose, CA 95128. The listed phone number is (408) 293-7767.

What is South Bay Sports And Preventive Medicine Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for South Bay Sports And Preventive Medicine Associates, Inc. was last updated on July 8, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.