San Jose Cardiac Surgery Grp in Los Gatos - Thoracic Surgery (cardiothoracic Vascular Surgery)
San Jose Cardiac Surgery Grp - NPI 1477503381
San Jose Cardiac Surgery Grp is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Los Gatos, California. San Jose Cardiac Surgery Grp practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for San Jose Cardiac Surgery Grp is 1477503381. The last update date is 2020-05-27.
San Jose Cardiac Surgery Grp's current location address is 15215 National Ave Ste 103, Los Gatos, California. You can contact this provider via phone number 4085591018 and fax number 4083713025. The mailing address for San Jose Cardiac Surgery Grp is 15215 National Ave Ste 103, Los Gatos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Jose Cardiac Surgery Grp |
|---|---|
| Address | 15215 National Ave Ste 103, Los Gatos, California |
| Phone Number | 4085591018 |
| Fax Number | 4083713025 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Schwartz Michael Steven |
| Credentials | MD |
| Telephone Number | 4085591018 |
NPI Number Detail
| NPI Number | 1477503381 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2020-05-27 |
Provider Mailing Address Detail
| Address | 15215 National Ave Ste 103 |
|---|---|
| City | Los Gatos |
| State | California (CA) |
| Post Code | 950322425 |
| Phone Number | 4085591018 |
| Fax Number | 4083713025 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
|
Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ16883Z | CA | BLUE SHIELD | |
| 00G630840 | MEDI-CAL | ||
| EG63084 | CHAMPUS | ||
| CN5287 | CA | RAILROAD MEDICARE | |
| 00C382510 | MEDI-CAL | ||
| 00G488080 | MEDI-CAL | ||
| EG48808 | CHAMPUS | ||
| HC382510 | HMO | ||
| GR0081260 | CA | -- | |
| HG48808 | HMO |
Post Comment/ Review Below
What is the San Jose Cardiac Surgery Grp's unique identification number?
The San Jose Cardiac Surgery Grp has been assigned the NPI (National Provider Identifier) Number 1477503381 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of San Jose Cardiac Surgery Grp?
The San Jose Cardiac Surgery Grp is physically situated at 15215 National Ave Ste 103, in the city of Los Gatos, state of CA, with the postal code 950322425.
What is the San Jose Cardiac Surgery Grp's specialty and taxonomy code?
The San Jose Cardiac Surgery Grp's specialty is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy code is 208G00000X.
On what date did the San Jose Cardiac Surgery Grp receive its 1477503381 assignment from the Centers for Medicare & Medicaid Services?
The San Jose Cardiac Surgery Grp was assigned its 1477503381 by the Centers for Medicare & Medicaid Services on 2006-05-11.
As of what date were the details related to San Jose Cardiac Surgery Grp most recently updated or revised?
The information pertaining to San Jose Cardiac Surgery Grp, including its address, specialty, and other relevant details, was last updated or revised on 2020-05-27.