JDD MEDICAL GROUP INC (NPI# 1235397571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235397571 |
Entity Type | Organization |
Organization Name | JDD MEDICAL GROUP INC |
Practice Address |
1674 Story Rd San Jose CA 95122-2102 |
Practice Telephone | 4082541500 |
Mailing Telephone | 4082541500 |
Enumeration Date | 2008-05-22 |
Last Update Date | 2008-05-22 |
Authorized Official Name | DR. JAMES DONALD DIBDIN (PRESIDENT) |
Authorized Official Telephone | 4082541500 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
Street Address |
1674 STORY RD |
City | SAN JOSE |
State | CA |
Zip Code | 95122-2102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437788015 | Vietnam Pharmacy Inc | Pharmacy | 2451 S King Rd Suite A1, San Jose, CA 95122 | 2020-04-06 |
1346894524 | Amy Le Tran | Counselor | Mekong Community Center, 2203 Tully Road, San Jose, CA 95122 | 2019-07-26 |
1164980439 | Tri Starr Home Care, LLC | PACE Provider Organization | 1609 Flanigan Dr., Unit H, Unit H, San Jose, CA 95122 | 2019-03-06 |
1740761196 | Aileen Phu | Acupuncturist | 1271 Story Rd Ste 50, San Jose, CA 95122 | 2018-08-23 |
1740775816 | Urgent Care Clinic of Northern Ca Inc | Clinic/Center | 999 Story Road, Suite 9021, San Jose, CA 95122 | 2018-06-29 |
1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
1497113153 | Jamealle Spain | Case Manager/Care Coordinator | 2070 Lucretia Ave #310, San Jose, CA 95122 | 2016-02-09 |
1770915035 | Thinh Tran | Dentist | 919 Story Rd Unit 1128, San Jose, CA 95122 | 2013-08-08 |
1356591333 | Asian American Recovery Services | Counselor | 1340 Tully Rd., San Jose, CA 95122 | 2008-09-25 |
1821246505 | Samara Rachel Stone | Marriage & Family Therapist | 1340 Tully Road, Suite 304, San Jose, CA 95122 | 2008-09-05 |
Find all providers in zip 95122 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1376683151 | School Health Clinics of Santa Clara County | Clinic/Center | 645 Wool Creek Dr, San Jose, CA 95112-2617 | 2007-02-08 |
1083755631 | School Health Clinics of Santa Clara County | Clinic/Center | 1835 Cunningham Ave, San Jose, CA 95122-1712 | 2007-02-08 |
1578029526 | American Current Care of California, A Medical Corporation | Clinic/Center | 1901 Monterey Hwy Ste 10, San Jose, CA 95112-6126 | 2019-02-14 |
1336628866 | Sehn Zhang | Clinic/Center | 1072 S De Anza Blvd Ste A108, San Jose, CA 95129 | 2018-08-07 |
1720515604 | The Great Sally, LLC | Clinic/Center | 25 N 14th St Ste 440, San Jose, CA 95112-6201 | 2017-05-22 |
1306291414 | Wellness Chiropractic Center | Clinic/Center | 2211 Moorpark Ave, Suite 280, San Jose, CA 95128-2654 | 2016-04-26 |
1649624776 | Healthycenter Inc. | Clinic/Center | 135 N Jackson Ave, San Jose, CA 95116-1917 | 2016-04-14 |
1265812309 | Ki Tae Kim Chiropractic Inc. | Clinic/Center | 2211 Moorpark Ave, Suite 280, San Jose, CA 95128-2654 | 2015-06-04 |
Find all providers in SAN JOSE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.