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MINIMALLY INVASIVE SURGICAL SOLUTIONS MEDICAL CORPORATION
NPI 1821167628
Radiology - Vascular & Interventional Radiology in San Jose, CA

Active since November 07, 2006CLIA 05D1083684 · Waiver
105 N BASCOM AVE STE 104, SAN JOSE, CA 95128(408) 918-0405(408) 918-0409 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2025, Jul 18, 2023, Jul 12, 2023 and 2 more (5 updates tracked since 2020).

About Minimally Invasive Surgical Solutions Medical Corporation NPPES

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

MINIMALLY INVASIVE SURGICAL SOLUTIONS MEDICAL CORPORATION (NPI 1821167628) is a healthcare organization registered as a vascular & interventional radiology in San Jose, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Maria Andrade, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1821167628
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameMINIMALLY INVASIVE SURGICAL SOLUTIONS MEDICAL CORPORATION
Location Address105 N BASCOM AVE STE 104San Jose, CA 95128-1811
Mailing Address105 N Bascom Ave Ste 104San Jose, CA 95128-1811 · (408) 918-0405 · Fax (408) 918-0409
Phone(408) 918-0405
Fax(408) 918-0409
Organization SubpartNo
Authorized OfficialMaria AndradeCredentialing Coordinator · (408) 918-0405
Enumeration DateNovember 7, 2006
Last NPPES UpdateJune 10, 20255 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1821167628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedFamily MedicineTaxonomy 207Q00000X
105 N BASCOM AVE STE 104, San Jose, CA 95128
Open in Google Maps ↗

Other Identifiers 1

MedicaidGR0095460CA

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 05D1083684

Minimally Invasive Surgical Solutions · San Jose, CA
Active · expires May 7, 2028
CLIA Number05D1083684
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorArash M. Padidar
Laboratory Phone(408) 918-0405
Laboratory LocationMinimally Invasive Surgical Solutions105 N Bascom Ste 104, San Jose, CA 95128
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

IR SOLUTIONS INC
Specialist
105 N BASCOM AVE STE 104
SAN JOSE, CA 95128
Santa Clara County (408) 343-8900
DR. SHAHRIAR SEAN PARSA M.D.
Family Medicine
105 N BASCOM AVE STE 104
SAN JOSE, CA 95128
Santa Clara County (408) 918-0405
DR. RIAN AARON HOLAYTER M.D.
Radiology (Vascular & Interventional Radiology)
105 N BASCOM AVE STE 104
SAN JOSE, CA 95128
Santa Clara County (408) 918-0405
VIVEK KUMAR AGRAWAL MD
Radiology (Neuroradiology)
105 N BASCOM AVE STE 104
SAN JOSE, CA 95128
Santa Clara County (408) 918-0405

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 Minimally Invasive Surgical Solutions Medical Corporation's NPI number?

The NPI number for Minimally Invasive Surgical Solutions Medical Corporation is 1821167628. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Minimally Invasive Surgical Solutions Medical Corporation located?

Minimally Invasive Surgical Solutions Medical Corporation is located at 105 N Bascom Ave Ste 104, San Jose, CA 95128. The listed phone number is (408) 918-0405.

What is Minimally Invasive Surgical Solutions Medical Corporation's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Does Minimally Invasive Surgical Solutions Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1083684) is associated with this NPI, valid through May 7, 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 Minimally Invasive Surgical Solutions Medical Corporation was last updated on June 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.