San Jose Medical Management, Inc.

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

SAN JOSE MEDICAL MANAGEMENT, INC.

Practice address

2585 Samaritan Dr
San Jose, CA 95124-4107

Phone

(408) 357-1020

Fax

(408) 357-1298

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ernie Angel Wallerstein

Title

C.E.O.

Phone

(408) 278-3015

Specialties & licenses 1

Addresses

Other names 1

• San Jose Medical Group Endoscopy Suite Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dean M. Didech, M.D.

  • Pediatrics Physician
  • San Jose, CA
  • NPI 1417973942
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073699609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RACE ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263518",
            "telephone_number": "408-278-3121",
            "fax_number": "408-278-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244107",
            "telephone_number": "408-357-1020",
            "fax_number": "408-357-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE MEDICAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLERSTEIN",
        "authorized_official_first_name": "ERNIE",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "408-278-3015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Jose Medical Group Endoscopy Suite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Jose Healthcare System, L.P.
• San Jose Healthcare System, L.P.
• San Jose Hospice and Palliative Care
• San Jose Imaging Center
• San Jose Medical Clinic, Inc.
• San Jose Medical Supply Co Inc
• San Jose Mothers' Milk Bank
• San Jose Mothers' Milk Bank
• San Jose Nephrology Medical Practice
• San Jose Orthopedic Associates Medical Corporation

• Endoscopy Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Endoscopy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.