Active NPI
Popovic Medical Inc
- Internal Medicine Physician
- San Jose, CA
National Provider Identifier
1083259873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A96234 | Other | CA | LISCENSE |
Other names 1
- NATASA POPOVIC, MD
National Provider Directory
National Provider DirectoryNPI 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.