Mustafa Fattah
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · San Jose, CA
NPI 1124962089 · NPPES record last updated Apr 20, 2026
Key facts
- NPI
- 1124962089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 250 Hospital Pkwy
San Jose, CA 95119-1103 - Phone
- (408) 972-3000
- NPI assigned
- Apr 20, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
250 Hospital Pkwy
San Jose, CA 95119-1103
Mailing address
250 Hospital Pkwy
San Jose, CA 95119-1103
Phone (408) 972-3000
Other providers in San Jose, CA
- Anna Fastenko
- William Joe Fat
- Nikki Nahal Fatapour
- Nava Fathi
- Fatima Vafai DDS, Inc
- Parvez Mehboob Fatteh
- Charles W. Faulk
- Jeanne Elise Faulkner
- John Richard Faull
- Roberta Marie Faust
All providers in San Jose, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.