Active NPI
Padmashri Srinivasa MD PC
- Hospitalist Physician
- San Jose, CA
National Provider Identifier
1013432483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A110096
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A110096 | Other | CA | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryNPI 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.