Active NPI
Peter Q. Ho, MS, CPO
- Orthotist
- San Jose, CA
National Provider Identifier
1063901957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 123 Di Salvo Ave Ste 60
San Jose, CA 95128-1714 - Phone
- (408) 217-9387
- Fax
- (408) 564-0138
- NPI assigned
- May 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | Primary | ||
| Prosthetist | 224P00000X |
Addresses
Primary practice location
123 Di Salvo Ave Ste 60
San Jose, CA 95128-1714
Mailing address
123 Di Salvo Ave Ste 60
San Jose, CA 95128-1714
Phone (408) 217-9387
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497893788 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Medical, Inc. | Past | Accepting new patients | |
| Pacific Medical, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- San Jose, CA
- NPI 1467727727
-
- Durable Medical Equipment & Medical Supplies
- Billings, MT
- NPI 1497162911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577750400000",
"number": "1063901957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 DI SALVO AVE STE 60",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281714",
"telephone_number": "408-217-9387",
"fax_number": "408-564-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 DI SALVO AVE STE 60",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281714",
"telephone_number": "408-217-9387",
"fax_number": "408-564-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO",
"first_name": "PETER",
"middle_name": "Q.",
"credential": "MS, CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-07",
"last_updated": "2019-12-31",
"certification_date": "2019-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497893788",
"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 Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.