Anatomage

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

74073 Issued in CA

Legal business name

ANATOMAGE

Practice address

111 N Market St
Suite 500
San Jose, CA 95113-1112

Phone

(408) 885-1474

Fax

(408) 295-9786

NPI assigned

Dec 2, 2015

Organization subpart

No

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

Authorized official

Name

Changxin Xu

Title

Program Director

Phone

(408) 885-1474

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1013382027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N MARKET ST",
            "address_2": "SUITE 500",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951131112",
            "telephone_number": "408-885-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MARKET ST",
            "address_2": "SUITE 500",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951131112",
            "telephone_number": "408-885-1474",
            "fax_number": "408-295-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANATOMAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "CHANGXIN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "408-885-1474"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "74073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Anagnos, M.D.
• Tanvi Joann Anand-Kumar
• Ahana Anand
• Asha Anand
• Kruthika Anand
• Alicia Elizabeth Anaya
• Angel Anaya
• Cristina Loya Anaya, ASW
• Aishwarya Anburaja
• Praveen Anchala, MD

• Customized Equipment (DME) in San Jose, CA
• Providers in San Jose, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.