DR. KURT N BAUSBACK (NPI# 1649258005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649258005 |
| Entity Type | Individual |
| Full Name | DR. KURT N BAUSBACK |
| Credential | MD |
| Practice Address |
2581 Samaritan Dr Ste 202 San Jose CA 95124-4113 |
| Mailing Address |
2350 W. El Camino Real 2nd Floor Mountain View CA 94040-6203 |
| Practice Telephone | 4083583939 |
| Practice Fax Number | 4083583797 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2016-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
G57335 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2581 SAMARITAN DR STE 202 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043654486 | Sutter Bay Medical Foundation | Clinic/Center | 2581 Samaritan Dr, Suite 308, San Jose, CA 95124-4113 | 2013-04-27 |
| 1861755092 | Sanaz Keyhan | Obstetrics & Gynecology | 2581 Samaritan Dr, San Jose, CA 95124-4113 | 2012-06-22 |
| 1548527146 | Samaritan Surgery Center | Clinic/Center | 2581 Samaritan Dr, Suite 300, San Jose, CA 95124-4113 | 2012-04-19 |
| 1164790473 | Amy Solis | Nurse Practitioner | 2581 Samaritan Dr, Suite 302, San Jose, CA 95124-4113 | 2011-12-01 |
| 1093092686 | Fabrice J Gallez, Dds, Ms, Inc | Clinic/Center | 2581 Samaritan Dr, Suite #310, San Jose, CA 95124-4113 | 2011-11-09 |
| 1043513591 | Urological Surgeons of Northern California | Urology | 2581 Samaritan Dr, Suite 200, San Jose, CA 95124-4113 | 2010-12-06 |
| 1417182593 | Michael Timothy Purkey | Otolaryngology | 2581 Samaritan Dr, Suite 210, San Jose, CA 95124-4113 | 2009-05-19 |
| 1700030418 | Mohammad Ezzati | Obstetrics & Gynecology | 2581 Samaritan Dr, Suite 308, San Jose, CA 95124-4113 | 2008-11-07 |
| 1609022581 | Amin Manuchehry | Internal Medicine | 2581 Samaritan Dr, Ste 202, San Jose, CA 95124-4112 | 2008-08-12 |
| 1700066776 | Weichung Liu | Radiology | 2581 Samaritan Dr, Suite 206, San Jose, CA 95124-4113 | 2007-11-07 |
| Find all providers in the same location | ||||
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881973626 | Amir Kaykha Md Inc | Internal Medicine | 2505 Samaritan Dr Ste 401, San Jose, CA 95124-4013 | 2011-08-10 |
| 1700864162 | Heart Associates of Northern Calif | Internal Medicine | 2581 Samaritan Dr Ste 202, San Jose, CA 95124-4112 | 2006-01-05 |
| 1144775198 | Hoang M Nguyen Do Inc | Internal Medicine | 175 N Jackson Ave, Ste 210, San Jose, CA 95116-1909 | 2016-08-19 |
| 1609022581 | Amin Manuchehry | Internal Medicine | 2581 Samaritan Dr, Ste 202, San Jose, CA 95124-4112 | 2008-08-12 |
| 1013188051 | Anh-quan Thinh Nguyen | Internal Medicine | 2581 Samaritan Dr Ste 202, San Jose, CA 95124-4112 | 2008-03-18 |
| 1316129398 | Charles Frederick Tuffli Jr. | Internal Medicine | 2100 Forest Avenue, Suite 101, San Jose, CA 95128 | 2007-11-30 |
| 1578621074 | Mohammad Shenasa | Internal Medicine | 105 N Bascom Ave, Suite 204, San Jose, CA 95128-1811 | 2006-12-05 |
| 1942368444 | Hossein Shenasa | Internal Medicine | 105 N Bascom Ave, Suite 204, San Jose, CA 95128-1811 | 2006-12-05 |
| 1194899419 | Arthur C. Lee | Internal Medicine | 260 International Cir, San Jose, CA 95119-1130 | 2006-11-20 |
| 1275619785 | Michael T. Caulfield | Internal Medicine | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| 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.