SOUTH BAY SPORTS AND PREVENTIVE MEDICINE ASSOCIATES, INC. (NPI# 1821227000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821227000 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY SPORTS AND PREVENTIVE MEDICINE ASSOCIATES, INC. |
| Practice Address |
455 Oconnor Drive Suite 150 San Jose CA 95128 |
| Practice Telephone | 4082937767 |
| Practice Fax Number | 4082946595 |
| Mailing Telephone | 4082937767 |
| Mailing Fax Number | 4082946595 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |
| Authorized Official Name | ANTHONY J SAGLIMBENI (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4082937767 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | G73977 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811126097 | South Bay Sports and Preventive Medicine Associates, Inc. | Non-Pharmacy Dispensing Site | 455 Oconnor Drive, Suite 150, San Jose, CA 95128 | 2009-07-08 |
| 1265661441 | South Bay Sports and Preventive Medicine Associates, Inc. | Non-Pharmacy Dispensing Site | 455 Oconnor Drive, Suite 150, San Jose, CA 95128 | 2009-07-08 |
| 1861554099 | South Bay Sports and Preventive Medicine Associates, Inc. | Internal Medicine | 900 Lafayette St Ste 105, Santa Clara, CA 95050 | 2006-12-14 |
| Street Address |
455 OCONNOR DRIVE SUITE 150 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902849722 | Hugh Gylnn Walsh | Surgery | 455 Oconnor Drive, #370, San Jose, CA 95128 | 2006-06-13 |
| 1811126097 | South Bay Sports and Preventive Medicine Associates, Inc. | Non-Pharmacy Dispensing Site | 455 Oconnor Drive, Suite 150, San Jose, CA 95128 | 2009-07-08 |
| 1265661441 | South Bay Sports and Preventive Medicine Associates, Inc. | Non-Pharmacy Dispensing Site | 455 Oconnor Drive, Suite 150, San Jose, CA 95128 | 2009-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780026518 | San Jose Doctors On Duty | Non-Pharmacy Dispensing Site | 1910 N Capitol Ave, San Jose, CA 95132-1019 | 2013-07-22 |
| 1043263189 | Planned Parenthood Mar Monte, Inc | Non-Pharmacy Dispensing Site | 1691 The Alameda, San Jose, CA 95126-2203 | 2006-05-18 |
| 1689934473 | Nguyen Ky Dpm Inc | Non-Pharmacy Dispensing Site | 660 E Santa Clara St, San Jose, CA 95112-1931 | 2012-05-25 |
| 1811126097 | South Bay Sports and Preventive Medicine Associates, Inc. | Non-Pharmacy Dispensing Site | 455 Oconnor Drive, Suite 150, San Jose, CA 95128 | 2009-07-08 |
| 1265661441 | South Bay Sports and Preventive Medicine Associates, Inc. | Non-Pharmacy Dispensing Site | 455 Oconnor Drive, Suite 150, San Jose, CA 95128 | 2009-07-08 |
| 1043497266 | Navani Pain Management Inc. | Non-Pharmacy Dispensing Site | 2505 Samaritan Dr, Suite #601, San Jose, CA 95124-4006 | 2008-01-30 |
| 1316120173 | W Gordon Walker, Md | Non-Pharmacy Dispensing Site | 2505 Samaritan Dr, San Jose, CA 95124-4006 | 2007-12-14 |
| 1467635466 | Ronald C. Diebel, M.d. A Professional Corporation | Non-Pharmacy Dispensing Site | 251 Oconnor Dr, Suite 1, San Jose, CA 95128-1656 | 2007-12-12 |
| 1811194509 | Physicians Medical Group of San Jose, Inc. | Non-Pharmacy Dispensing Site | 2585 Samaritan Dr, 2nd Floor, San Jose, CA 95124-4107 | 2007-06-27 |
| 1073648739 | Physicians Medical Group of San Jose, Inc. | Non-Pharmacy Dispensing Site | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2007-02-22 |
| 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.