Organization Active NPI

Padmashri Srinivasa MD PC

  • Hospitalist Physician
  • San Jose, CA
National Provider Identifier
1013432483
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A110096 Issued in CA
Legal business name
PADMASHRI SRINIVASA MD PC
Practice address
175 N Jackson Ave Ste 209
San Jose, CA 95116-1909
Phone
(650) 766-9338
Fax
(408) 516-9377
NPI assigned
Aug 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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

Authorized official

Name
Jyoti Challi
Title
Office Manager
Phone
(650) 766-9338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X A110096 CA Primary

Addresses

Primary practice location

175 N Jackson Ave Ste 209
San Jose, CA 95116-1909

Mailing address

14067 Apricot HL
Saratoga, CA 95070-5614

Other identifiers 1

IdentifierTypeStateIssuer
A110096OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502064000000",
    "number": "1013432483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14067 APRICOT HL",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE STE 209",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909",
            "telephone_number": "650-766-9338",
            "fax_number": "408-516-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADMASHRI SRINIVASA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A",
        "authorized_official_last_name": "CHALLI",
        "authorized_official_first_name": "JYOTI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "650-766-9338"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A110096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A110096",
            "state": "CA"
        }
    ],
    "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 Aug 7, 2017; 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.