Organization Active NPI

Nilda Vergara M.D. a Medical Corporation

  • Pediatrics Physician
  • San Jose, CA
National Provider Identifier
1003849043
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A37908 Issued in CA
Legal business name
NILDA VERGARA M.D. A MEDICAL CORPORATION
Practice address
2039 Forest Ave Ste 205B
San Jose, CA 95128-4815
Phone
(408) 295-0211
Fax
(408) 297-9326
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Dr. Nilda Vergara, M.D.NPI 1851339469
Title
President
Phone
(408) 295-0211

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A37908 CA Primary

Addresses

Primary practice location

2039 Forest Ave Ste 205B
San Jose, CA 95128-4815

Mailing address

2039 Forest Ave Ste 205B
San Jose, CA 95128-4815
Phone (408) 295-0211

National Provider Directory

National Provider Directory

Locations

2039 Forest Ave
Ste 205B
San Jose, CA 95128
Phone (408) 295-0211

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": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1003849043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 FOREST AVE STE 205B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284815",
            "telephone_number": "408-295-0211",
            "fax_number": "408-297-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 FOREST AVE STE 205B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284815",
            "telephone_number": "408-295-0211",
            "fax_number": "408-297-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILDA VERGARA M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "VERGARA",
        "authorized_official_first_name": "NILDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-295-0211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A37908",
            "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 Feb 13, 2014; 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.