SOUTH BAY GI INC (NPI# 1629386198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629386198 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY GI INC |
| Practice Address |
150 N Jackson Ave Suite 107 San Jose CA 95116-1908 |
| Practice Telephone | 4089262182 |
| Practice Fax Number | 4089268370 |
| Mailing Telephone | 4089262182 |
| Mailing Fax Number | 4089268370 |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2011-02-19 |
| Authorized Official Name | DR. HARSHA VITTAL (PRESIDENT) |
| Authorized Official Telephone | 4089262182 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A95303 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
150 N JACKSON AVE SUITE 107 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417931114 | Ralph Stephen Zotovich | Dentist | 150 N Jackson Ave, Suite 110, San Jose, CA 95116-1908 | 2005-12-06 |
| 1760969539 | Spread Your Wings for Mental Health Inc. | Clinic/Center | 150 N Jackson Ave, San Jose, CA 95116-1908 | 2018-07-25 |
| 1679006209 | Reozel Realon Buquing, Dds, Inc. | Dentist | 150 N Jackson Ave, Suite 108, San Jose, CA 95116-1908 | 2017-04-11 |
| 1649673526 | San Jose Surgical Group | Surgery | 150 N Jackson Ave, Suite 100, San Jose, CA 95116-1908 | 2014-10-06 |
| 1316351216 | Don Allen Stevenson Dds Inc. | Dentist | 150 N Jackson Ave, Suite 204, San Jose, CA 95116-1908 | 2014-06-18 |
| 1427299098 | Dennis Terrak Calvert | Dentist | 150 N Jackson Ave, Suite 210, San Jose, CA 95116-1908 | 2009-03-11 |
| 1184899874 | Kelly De Gonzales | Surgery | 150 N Jackson Ave, Suite 100, San Jose, CA 95116-1908 | 2008-04-24 |
| 1912105917 | Gregory Rex Burnett | Dentist | 150 N Jackson Ave, #211, San Jose, CA 95116-1908 | 2007-07-11 |
| 1093928939 | Floro Bayle Ramirez | Dentist | 150 N Jackson Ave, Suite 108, San Jose, CA 95116-1908 | 2007-05-08 |
| 1427277342 | Michael Oran Bambico | Dentist | 150 N Jackson Ave, Suite # 103, San Jose, CA 95116-1908 | 2007-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811403215 | Insite Digestive Health Care | Internal Medicine | 200 Jose Figueres Ave Ste 170, San Jose, CA 95116-1586 | 2017-12-20 |
| 1679963375 | Silicon Valley Research Institute | Internal Medicine | 231 Oconnor Dr, San Jose, CA 95128-1624 | 2015-02-02 |
| 1528316320 | Gi Associates of Silicon Valley, Inc | Internal Medicine | 6727 Lookout Bnd, San Jose, CA 95120-4649 | 2012-08-28 |
| 1316238579 | Gene Ma | Internal Medicine | 270 International Cir Bldg 3, San Jose, CA 95119 | 2011-04-22 |
| 1376859231 | Michael C Kushlan Md Inc | Internal Medicine | 2512 Samaritan Ct Ste G, San Jose, CA 95124-4002 | 2010-08-29 |
| 1396960605 | Sally E Nacianceno Md Inc | Internal Medicine | 175 N Jackson Ave Ste 110, San Jose, CA 95116-1909 | 2007-04-13 |
| 1134258213 | Terry C Lin | Internal Medicine | 2520 Samaritan Dr Ste 201b, San Jose, CA 95124-4106 | 2007-03-05 |
| 1023161379 | Terry C. Lin D.o.,inc. | Internal Medicine | 2520 Samaritan Dr., #201, San Jose, CA 95124 | 2007-01-19 |
| 1932133105 | Terry C. Lin D.o. | Internal Medicine | 2520 Samaritan Dr # 201, San Jose, CA 95124-4106 | 2006-07-11 |
| 1063461747 | Rasik Kansara | Internal Medicine | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2006-05-09 |
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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.