EMIL A ANAYA MD, INC. A MEDICAL CORPORATION (NPI# 1871627463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871627463 |
| Entity Type | Organization |
| Organization Name | EMIL A ANAYA MD, INC. A MEDICAL CORPORATION |
| Practice Address |
105 N Bascom Ave Suite 104 San Jose CA 95128-1811 |
| Mailing Address |
Po Box 3133 San Jose CA 95156-3133 |
| Practice Telephone | 4082588760 |
| Practice Fax Number | 4082588760 |
| Mailing Telephone | 4082588760 |
| Mailing Fax Number | 4082583645 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2009-09-18 |
| Authorized Official Name | DR. EMIL ALBERTO ANAYA (PRESIDENT OWNER) |
| Authorized Official Telephone | 4082588760 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
A25810 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA MEDICAL LICENS | A25810 | 01 |
| CA | GROUP PTAN | ZZZ06033Z | 01 |
| INDIVIDUAL NPI | 1811994445 | 01 |
| Street Address |
105 N BASCOM AVE SUITE 104 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994445 | Emil A. Anaya | Surgery | 105 N Bascom Ave, Ste 104, San Jose, CA 95128 | 2005-06-28 |
| 1679931521 | Heart & Rhythm Clinic, A Professional Medical Corporation | Preferred Provider Organization | 105 N Bascom Ave, Suite 204, San Jose, CA 95128-1811 | 2016-02-08 |
| 1932585874 | Bay Area Medical Group Inc | Internal Medicine | 105 N Bascom Ave, 204, San Jose, CA 95128-1811 | 2015-08-03 |
| 1528445343 | Isabella Pericone | Nutritionist | 105 N Bascom Ave, Ste 202, San Jose, CA 95128-1811 | 2015-04-30 |
| 1689068215 | Alex Studemeister Md Inc A Professional Medical Corporation | Internal Medicine | 105 N Bascom Ave, Suite 202, San Jose, CA 95128-1811 | 2015-03-20 |
| 1427497775 | Ir Solutions Inc Medical Corp | Radiology | 105 N Bascom Ave, Suite 104, San Jose, CA 95128-1811 | 2013-06-20 |
| 1679811202 | Maryam Malekian | Dietitian, Registered | 105 N Bascom Ave, Suite 204, San Jose, CA 95128-1811 | 2013-01-16 |
| 1881977502 | Doylene Chan | Psychologist | 105 N Bascom Ave, Suite 202, San Jose, CA 95128-1811 | 2011-09-20 |
| 1003148073 | South Bay Cardiovascular Medical Group, Inc | Internal Medicine | 105 N Bascom Ave, Suite 204, San Jose, CA 95128-1811 | 2010-02-02 |
| 1861629453 | Lindsey Jane Bergren Pierce | Radiology | 105 N Bascom Ave, Suite 104, San Jose, CA 95128-1811 | 2009-06-22 |
| Find all providers in the same location | ||||
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104847656 | Richard W Starrett | Surgery | 2512 Samaritan Ct Ste E, San Jose, CA 95124-4002 | 2006-07-21 |
| 1861413320 | John Gray Brawley IIi | Surgery | 751 S. Bascom Avenue Ste 340, Valley Specialty Center, Division of Vascular Surgery, San Jose, CA 95128 | 2006-07-21 |
| 1811994445 | Emil A. Anaya | Surgery | 105 N Bascom Ave, Ste 104, San Jose, CA 95128 | 2005-06-28 |
| 1730229261 | Glenn R. Romualdo | Surgery | 260 International Cir, San Jose, CA 95119-1130 | 2007-02-07 |
| 1013060672 | Vascular Associates of Northern California | Surgery | 2512 Samaritan Ct Ste E, San Jose, CA 95124-4002 | 2007-01-18 |
| 1235215740 | Everett Y. Lam | Surgery | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| 1366463812 | Roger M Hayashi | Surgery | 2512 Samaritan Ct Ste E, San Jose, CA 95124-4002 | 2006-07-21 |
| 1265453724 | David W Chang | Surgery | 2512 Samaritan Ct, Suite E, San Jose, CA 95124-4002 | 2006-07-21 |
| 1942238241 | Peter J Schubart | Surgery | 455 Oconnor Dr, Suite 370, San Jose, CA 95128-1633 | 2006-06-28 |
| 1487691606 | Jafar Tay | Surgery | 105 N Bascom Ave, Ste 104, San Jose, CA 95128 | 2006-05-31 |
| 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.