MR. GARY LEE BROWN (NPI# 1639220825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639220825 |
| Entity Type | Individual |
| Full Name | MR. GARY LEE BROWN |
| Credential | PA-C |
| Practice Address |
2585 Samaritan Drive San Jose CA 95124-4107 |
| Mailing Address |
3803 S Bascom Ave Campbell CA 95008-7317 |
| Practice Telephone | 4083716771 |
| Practice Fax Number | 4083716387 |
| Mailing Telephone | 4082783000 |
| Mailing Fax Number | 4082667232 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2016-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA11381 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NCCPA | 1012194 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750854139 | Gary Brown | Social Worker | 180 Riverside Blvd Apt 5u, New York, NY 10069-0805 | 2019-01-08 |
| 1396084182 | Gary Michael Brown | Dentist | 660 Drury Rd, Carbondale, IL 62902-7463 | 2013-02-13 |
| 1295019875 | Gary Lane Brown | Radiology Practitioner Assistant | 4570 Bluebonnet Blvd, Baton Rouge, LA 70809-5603 | 2011-09-30 |
| 1396988762 | Gary W. Brown Jr. | Nurse Practitioner | 1582 N Broad St, Suite 2, Tazewell, TN 37879-4352 | 2009-04-14 |
| 1073782090 | Gary Alan Brown | Anesthesiology | 4400 Will Rogers Pkwy Ste 105, Oklahoma City, OK 73108-1855 | 2008-02-24 |
| 1508987553 | Gary Lynn Brown | Dentist | 5439 A Liberty Rd, Greensboro, NC 27406 | 2007-04-03 |
| 1073679973 | Gary Nathan Brown | Pharmacist | 3159 Robert C Byrd Dr, Beckley, WV 25801 | 2006-12-28 |
| 1366418881 | Gary Ross Brown | Dermatology | 1011 S Tyler St, Covington, LA 70433 | 2006-02-24 |
| 1104815646 | Gary L Brown | Dentist | 9 E Wall St, Fort Scott, KS 66701-1422 | 2005-10-18 |
| 1447244421 | Gary Dean Brown | Chiropractor | 5602 Se 15th St, Midwest City, OK 73110-2612 | 2005-09-07 |
| Street Address |
2585 SAMARITAN DRIVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376648030 | Jeffrey Taggart Holmes | Specialist | 2585 Samaritan Drive, Suite 302, San Jose, CA 95124 | 2006-09-14 |
| 1689753337 | Paul I. Huang | Internal Medicine | 2585 Samaritan Drive, San Jose, CA 95124-4107 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356701429 | Andrea Nola | Physician Assistant | 311 E Empire St, San Jose, CA 95112-3302 | 2016-03-02 |
| 1164847273 | Robert Bruce, Inc | Physician Assistant | 4950 Cherry Ave, #41, San Jose, CA 95118-2751 | 2014-02-26 |
| 1255343505 | Timothy Ole Hovland | Physician Assistant | 2505 Samaritan Dr Ste 210, San Jose, CA 95124-4008 | 2006-08-13 |
| 1124473756 | Mary Haas | Physician Assistant | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2016-05-02 |
| 1902215726 | Jessica Lorena Martinez | Physician Assistant | 2577 Samaritan Drive, Ste 810, San Jose, CA 95124-4103 | 2014-08-06 |
| 1467881821 | Lisa Finger | Physician Assistant | 260 International Cir, 1 North Orthopaedic Department, San Jose, CA 95119-1130 | 2013-11-06 |
| 1881913960 | Assist Surgery John | Physician Assistant | 2110 Forest Ave, San Jose, CA 95128-1469 | 2010-05-27 |
| 1831219344 | Harland Wong | Physician Assistant | 455 Oconnor Dr, Suite 310 B, San Jose, CA 95128-1633 | 2007-03-29 |
| 1902952013 | Brooke Davis | Physician Assistant | 260 International Cir, San Jose, CA 95119-1130 | 2007-01-25 |
| 1396890315 | Yong Bae | Physician Assistant | 260 International Cir, San Jose, CA 95119-1130 | 2007-01-23 |
| 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.