DR. JOSELITO C CABACCAN (NPI# 1801813720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801813720 |
| Entity Type | Individual |
| Full Name | DR. JOSELITO C CABACCAN |
| Credential | M.D. |
| Practice Address |
2690 S White Rd Ste 50 San Jose CA 95148-2075 |
| Mailing Address |
2690 S White Rd Suite 50 San Jose CA 95148-2076 |
| Practice Telephone | 4082237000 |
| Practice Fax Number | 4082237001 |
| Mailing Telephone | 4082237000 |
| Mailing Fax Number | 4082237001 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2016-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
A78885 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RRW MEDICARE GRP | 110008961 | 01 |
| Street Address |
2690 S WHITE RD STE 50 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95148-2075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284249 | Smita Gupta | Internal Medicine | 2690 S White Rd Ste 50, San Jose, CA 95148-2075 | 2005-06-13 |
| 1205491594 | Amanda Flohr | Physician Assistant | 2690 S White Rd Ste 50, San Jose, CA 95148-2075 | 2019-05-02 |
| 1487167912 | Vivian Diep | Physician Assistant | 2690 S White Rd Ste 50, San Jose, CA 95148-2075 | 2017-11-06 |
| 1457892101 | Joyce Valencia | Nurse Practitioner | 2690 S White Rd Ste 50, San Jose, CA 95148 | 2017-03-14 |
| 1508159294 | Evergreen Medical Group, Inc. | Internal Medicine | 2690 S White Rd Ste 50, San Jose, CA 95148-2075 | 2011-05-27 |
| 1174707392 | Anjali Jain | Pediatrics | 2690 S White Rd Ste 50, San Jose, CA 95148-2075 | 2007-12-24 |
| 1578742888 | Lily Kao | Internal Medicine | 2690 S White Rd Ste 50, San Jose, CA 95148 | 2007-11-02 |
| 1245437433 | Thu Phuong Ho | Pediatrics | 2690 S White Rd Ste 50, San Jose, CA 95148-2075 | 2007-06-29 |
| 1164554051 | Anuradhika Kandula | Internal Medicine | 2690 S White Rd Ste 50, San Jose, CA 95148-2075 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415540 | World Trekker LLC | Home Health | 2756 White Acres Drive, San Jose, CA 95148 | 2020-07-29 |
| 1962932749 | Mychau Nhu Nguyen | Acupuncturist | 2710 Gumdrop Drive, San Jose, CA 95148 | 2017-06-14 |
| 1457705808 | Dzuy V Bi | Optometrist | 2670 S White Rd Ste 200, San Jose, CA 95148 | 2016-04-21 |
| 1235489626 | Emerlyn Sangha | Dental Hygienist | 1878 Oakton Court, San Jose, CA 95148 | 2012-09-13 |
| 1073863502 | Uyen-ly Hoang Nguyen | Counselor | 2792 White Acres Dr, San Jose, CA 95148 | 2012-09-12 |
| 1780955880 | Tiffany Thy Nguyen | Pharmacist | 3121 Norwood Avenue, San Jose, CA 95148 | 2012-01-20 |
| 1215204722 | Stacey Nguyen | Pharmacist | 2799 S. White Road, San Jose, CA 95148 | 2011-11-28 |
| 1760670798 | Jamie Victoria Santiago | Chiropractor | 8010 Wayland Ln. Ste 1b, Gilroy, CA 95148 | 2007-10-03 |
| 1003021494 | Rosemary Evans | Dentist | 2680 S White Road, Suite 100, San Jose, CA 95148 | 2007-05-11 |
| 1942334073 | Evelyn Gaviola | Physical Therapist | 2670 S White Rd Ste 120, San Jose, CA 95148 | 2007-03-14 |
| Find all providers in zip 95148 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1619188497 | Pacific Endocrine Diabetes Health Center, Inc. | Internal Medicine | 25 N 14th St Ste 920, San Jose, CA 95112-6216 | 2007-05-24 |
| 1053569228 | Patricia Marie Salmon | Internal Medicine | 751 S Bascom Ave, Valley Specialty Center, Suite 210, San Jose, CA 95128-2604 | 2008-08-29 |
| 1689839425 | Jasdev Singh Gondal | Internal Medicine | 5855 Silver Creek Valley Place, San Jose, CA 95138 | 2008-07-21 |
| 1306000369 | Laurel Anne Mcclure | Internal Medicine | 751 S Bascom Ave, Dept. of Medicine, San Jose, CA 95128-2604 | 2008-07-17 |
| 1821283524 | Joselito Cabaccan, Md | Internal Medicine | 2680 S White Rd, Suite 265, San Jose, CA 95148-2074 | 2007-09-06 |
| 1285836403 | Nicole Coghlan Borau | Internal Medicine | 2585 Samaritan Dr, San Jose, CA 95124-4107 | 2007-06-01 |
| 1164554051 | Anuradhika Kandula | Internal Medicine | 2690 S White Rd Ste 50, San Jose, CA 95148-2075 | 2007-03-09 |
| 1144358581 | David L Peterson Md | Internal Medicine | 393 Blossom Hill Rd, Ste 260, San Jose, CA 95123-1652 | 2007-02-28 |
| 1912083429 | Lynn A. Dowdell | Internal Medicine | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| 1669558185 | Patricia B. Kan | 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.