Organization Active NPI

Thomas a. Carine D.P.M. Inc. a Professional Corporation

  • Foot Surgery Podiatrist
  • San Jose, CA
National Provider Identifier
1003121039
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E2090 Issued in CA
Legal business name
THOMAS A. CARINE D.P.M. INC. A PROFESSIONAL CORPORATION
Practice address
2040 Forest Ave
Suite 7
San Jose, CA 95128-4810
Phone
(408) 287-5751
Fax
(408) 287-5750
NPI assigned
Aug 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas Anthony Carine, D.P.M.NPI 1053427971
Title
President
Phone
(408) 287-5751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X E2090 CA Primary

Addresses

Primary practice location

2040 Forest Ave
Suite 7
San Jose, CA 95128-4810

Mailing address

2040 Forest Ave
Suite 7
San Jose, CA 95128-4810
Phone (408) 287-5751

National Provider Directory

National Provider Directory

Locations

2040 Forest Ave
Ste 7
San Jose, CA 95128
Phone (408) 287-5751

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1003121039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 FOREST AVE",
            "address_2": "SUITE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284810",
            "telephone_number": "408-287-5751",
            "fax_number": "408-287-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 FOREST AVE",
            "address_2": "SUITE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284810",
            "telephone_number": "408-287-5751",
            "fax_number": "408-287-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A. CARINE D.P.M. INC. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-14",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "CARINE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-287-5751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E2090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.