Organization Active NPI

Bay Area Primary Care Inc

  • Clinic/Center
  • San Jose, CA
National Provider Identifier
1053703090
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A121680 Issued in CA
Legal business name
BAY AREA PRIMARY CARE INC
Practice address
200 Jose Figueres Ave Ste 285
San Jose, CA 95116-1590
Phone
(408) 498-4567
Fax
(408) 498-4565
NPI assigned
Feb 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Dr. Sekhar Ujwala Eadula
Title
President
Phone
(408) 498-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A121680 CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave Ste 285
San Jose, CA 95116-1590

Mailing address

200 Jose Figueres Ave Ste 285
San Jose, CA 95116-1590
Phone (408) 498-4567

National Provider Directory

National Provider Directory

Locations

200 Jose Figueres Ave
Ste 285
San Jose, CA 95116
Phone (408) 498-4567

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13613/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1053703090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 285",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161590",
            "telephone_number": "408-498-4567",
            "fax_number": "408-498-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE STE 285",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161590",
            "telephone_number": "408-498-4567",
            "fax_number": "408-498-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "EADULA",
        "authorized_official_first_name": "SEKHAR UJWALA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-498-4567",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A121680",
            "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 27, 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.