Organization Active NPI

Popovic Medical Inc

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1083259873
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
POPOVIC MEDICAL INC
Practice address
2081 Forest Ave Ste 1
San Jose, CA 95128-4841
Phone
(669) 249-9459
Fax
(408) 294-1753
NPI assigned
Nov 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Authorized official

Name
Mrs. Natasa Popovic, MD
Title
Owner
Phone
(408) 429-4487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2081 Forest Ave Ste 1
San Jose, CA 95128-4841

Mailing address

2081 Forest Ave Ste 1
San Jose, CA 95128-4841
Phone (669) 249-9459

Other identifiers 1

IdentifierTypeStateIssuer
A96234OtherCALISCENSE

Other names 1

  • NATASA POPOVIC, MD Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1083259873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 FOREST AVE STE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284841",
            "telephone_number": "669-249-9459",
            "fax_number": "408-294-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 FOREST AVE STE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284841",
            "telephone_number": "669-249-9459",
            "fax_number": "408-294-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPOVIC MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "POPOVIC",
        "authorized_official_first_name": "NATASA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-429-4487",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSE",
            "identifier": "A96234",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NATASA POPOVIC, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 15, 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.

Verify at the official NPI Registry.