LOMA VISTA OBGYN MEDICAL GROUP INC
NPI 1972540359
Specialist in San Jose, CA

Active since June 02, 2006
2577 SAMARITAN DR, 810, SAN JOSE, CA 95124(408) 358-1888(408) 356-0877 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About LOMA VISTA OBGYN MEDICAL GROUP INC

This page provides the complete NPI Profile along with additional information for Loma Vista Obgyn Medical Group Inc, a provider established in San Jose, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1972540359 assigned on June 2006. The practitioner's primary taxonomy code is 174400000X with license number 207V00000X (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Anjali Tate M.d. (President)

NPI
1972540359 Verify this NPI
Provider Name
LOMA VISTA OBGYN MEDICAL GROUP INC
Entity Type
Organization
Location Address
2577 SAMARITAN DR 810 SAN JOSE, CA 95124
Location Phone
(408) 358-1888
Location Fax
(408) 356-0877
Mailing Address
2577 SAMARITAN DR 810 SAN JOSE, CA 95124
Mailing Phone
(408) 358-1888
Mailing Fax
(408) 356-0877
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-02-2006
Last Update Date
08-22-2020
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
207V00000X
License State
CA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ANJALI TATE M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(408) 358-1888

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
2577 SAMARITAN DR, SUITE 740
SAN JOSE, CA 95124
Pediatrics
2577 SAMARITAN DR, SIUTE 720
SAN JOSE, CA 95124
Pediatrics (Pediatric Gastroenterology)
2577 SAMARITAN DR, STE 815
SAN JOSE, CA 95124
Pediatrics
2577 SAMARITAN DR, SUITE 720
SAN JOSE, CA 95124
Pediatrics
2577 SAMARITAN DR, SUITE 830
SAN JOSE, CA 95124
Pediatrics (Adolescent Medicine)
2577 SAMARITAN DR, SUITE 830
SAN JOSE, CA 95124
Pediatrics
2577 SAMARITAN DR, SUITE830
SAN JOSE, CA 95124
Physical Medicine & Rehabilitation
2577 SAMARITAN DR, SUITE 855F
SAN JOSE, CA 95124
Psychiatry & Neurology (Neurology)
2577 SAMARITAN DR, SUITE #840
SAN JOSE, CA 95124
Pediatrics
2577 SAMARITAN DR, SUITE # 725
SAN JOSE, CA 95124
Pediatrics
2577 SAMARITAN DR, SUITE # 725
SAN JOSE, CA 95124
Pediatrics
2577 SAMARITAN DR, SUITE 745
SAN JOSE, CA 95124
Specialist
2577 SAMARITAN DR, SUITE 710
SAN JOSE, CA 95124
Specialist
2577 SAMARITAN DR, SUITE 710
SAN JOSE, CA 95124
Neurological Surgery
2577 SAMARITAN DR, SUITE 710
SAN JOSE, CA 95124
Specialist
2577 SAMARITAN DR, SUITE 710
SAN JOSE, CA 95124
Specialist
2577 SAMARITAN DR, SUITE 710
SAN JOSE, CA 95124
Eyewear Supplier
2577 SAMARITAN DR, SUITE 740
SAN JOSE, CA 95124
Pediatrics
2577 SAMARITAN DR, SUITE# 725
SAN JOSE, CA 95124
Pediatrics (Pediatric Allergy/Immunology)
2577 SAMARITAN DR, SUITE 860
SAN JOSE, CA 95124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972540359, enumerated as an "organization" on June 02, 2006.

The provider is located at 2577 SAMARITAN DR 810 SAN JOSE, CA 95124 and the phone number is (408) 358-1888.

Specialist with taxonomy code 174400000X.