Individual provider Active NPI

Galiba Gaity Rahman, M.D.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1023157187
Registry record updated Jun 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A67092 Issued in CA
Practice address
200 Jose Figueres Ave
Ste 260
San Jose, CA 95116-1555
Phone
(408) 258-8050
Fax
(408) 258-2269
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A67092 CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave
Ste 260
San Jose, CA 95116-1555

Mailing address

200 Jose Figueres Ave
Ste 260
San Jose, CA 95116-1555
Phone (408) 223-0768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091202000071 CA Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal Medicine 2668511890 Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice, Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Jose Figueres Ave
San Jose, CA 95116-1555
Phone (408) 658-2302

200 Jose Figueres Ave
Suite 260
San Jose, CA 95116-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A67092CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC Past Accepting new patients
El Camino Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465603200000",
    "number": "1023157187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "STE 260",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161555",
            "telephone_number": "408-223-0768",
            "fax_number": "866-924-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "STE 260",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161555",
            "telephone_number": "408-258-8050",
            "fax_number": "408-258-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "GALIBA",
        "middle_name": "GAITY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2016-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A67092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.