O' CONNOR FAMILY MEDICINE RESIDENCY PROGRAM (NPI# 1871868562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871868562 |
Entity Type | Organization |
Organization Name | O' CONNOR FAMILY MEDICINE RESIDENCY PROGRAM |
Practice Address |
455 Oconnor Dr San Jose CA 95128-1633 |
Mailing Address |
1383 Story Ct San Jose CA 95127-4331 |
Practice Telephone | 4082837676 |
Mailing Telephone | 4084586661 |
Enumeration Date | 2012-03-14 |
Last Update Date | 2012-03-14 |
Authorized Official Name | DR. ROBERT NORMAN (MEDICAL DIRECTOR) |
Authorized Official Telephone | 4082837676 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
20A12161 | CA | Ambulatory Health Care Facilities |
Street Address |
455 OCONNOR DR |
City | SAN JOSE |
State | CA |
Zip Code | 95128-1633 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609861400 | Aldon J Hilton | Dentist | 455 Oconnor Dr, Suite 320, San Jose, CA 95128-1633 | 2005-09-17 |
1245850585 | Celina Allyn Mercer | Student in an Organized Health Care Education/Training Program | 455 Oconnor Dr, San Jose, CA 95128-1633 | 2020-04-16 |
1255820635 | Alexandra Laura Duisberg | Student in an Organized Health Care Education/Training Program | 455 Oconnor Dr, San Jose, CA 95128-1633 | 2018-05-01 |
1457857831 | William Chun-yin Hui | Student in an Organized Health Care Education/Training Program | 455 Oconnor Dr, San Jose, CA 95128-1633 | 2018-04-04 |
1760910467 | Lucia Tome | Family Medicine | 455 Oconnor Dr, San Jose, CA 95128-1633 | 2017-05-25 |
1972985083 | O'connor Hospital | General Acute Care Hospital | 455 Oconnor Dr, Suite 200, San Jose, CA 95128-1633 | 2015-06-25 |
1790167401 | Angela F Chiang | Student in an Organized Health Care Education/Training Program | 455 Oconnor Dr, Suite 200, San Jose, CA 95128-1633 | 2015-06-18 |
1386026086 | Nhat Pham | Student in an Organized Health Care Education/Training Program | 455 Oconnor Dr, Ste 200, San Jose, CA 95128-1633 | 2015-06-18 |
1396123568 | Sutter Visiting Nurse Association and Hospice | Clinic/Center | 455 Oconnor Dr, Suite 300, San Jose, CA 95128-1633 | 2015-05-08 |
1194139253 | David Shin | Family Medicine | 455 Oconnor Dr, Suite 250, San Jose, CA 95128 | 2014-06-17 |
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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 | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518105626 | Kara M Potter | Clinic/Center | 5671 Santa Teresa Boulevard, Suite 15, San Jose, CA 95123 | 2009-01-27 |
1700830296 | East Valley Community Clinic, Inc. | Clinic/Center | 2470 Alvin Ave, Suite 60, San Jose, CA 95121-1664 | 2006-05-20 |
1558314609 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 5440 Thornwood Dr, Suite G, San Jose, CA 95123-1217 | 2006-05-18 |
1306309885 | Gardner Family Health Network Inc | Clinic/Center | 195 E San Fernando St, San Jose, CA 95112-3503 | 2019-04-10 |
1508299967 | Health Mobile | Clinic/Center | 2324 Montpelier Dr Ste 3, San Jose, CA 95116-1612 | 2013-08-20 |
1871848523 | Dr. Rosalinda A. Mandreza, Inc | Clinic/Center | 2593 S King Rd, Ste 11, San Jose, CA 95122-1880 | 2012-07-18 |
1841552171 | Catholic Charities of Santa Clara County | Clinic/Center | 195 E San Fernando St, San Jose, CA 95112-3503 | 2012-06-12 |
1972823417 | Jennifer Stevenson | Clinic/Center | 645 Wool Creek Dr, San Jose, CA 95112-2617 | 2010-06-07 |
1184953127 | Ruth Holguin | Clinic/Center | 1149 E Julian St, Bldg. H, San Jose, CA 95116-1005 | 2009-12-22 |
1578794699 | Crisis Pregnancy Centers of Santa Clara County | Clinic/Center | 3315 Almaden Expy, Ste 25, San Jose, CA 95118-1557 | 2009-08-06 |
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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.