Organization Active NPI

Michael R. Nagel, M.D., Inc.

  • Specialist
  • San Jose, CA
National Provider Identifier
1104007897
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A21653 Issued in CA
Legal business name
MICHAEL R. NAGEL, M.D., INC.
Practice address
2505 Samaritan Dr
Suite 306
San Jose, CA 95124-4010
Phone
(408) 358-9911
Fax
(408) 358-9918
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Dr. Michael R Nagel, M.D.
Title
President
Phone
(408) 358-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A21653 CA Primary

Addresses

Primary practice location

2505 Samaritan Dr
Suite 306
San Jose, CA 95124-4010

Mailing address

2505 Samaritan Dr
Suite 306
San Jose, CA 95124-4010
Phone (408) 358-9911

National Provider Directory

National Provider Directory

Locations

2505 Samaritan Dr
Ste 306
San Jose, CA 95124
Phone (408) 358-9911

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1104007897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "SUITE 306",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244010",
            "telephone_number": "408-358-9911",
            "fax_number": "408-358-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "SUITE 306",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244010",
            "telephone_number": "408-358-9911",
            "fax_number": "408-358-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. NAGEL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-358-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A21653",
            "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 Mar 6, 2013; 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.