Organization Active NPI

Eric M. Kagel M.D. Medical Corp

  • Specialist
  • San Jose, CA
National Provider Identifier
1144428681
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00A727231 Issued in CA
Legal business name
ERIC M. KAGEL M.D. MEDICAL CORP
Practice address
2505 Samaritan Dr
Suite 208
San Jose, CA 95124-4006
Phone
(408) 358-3555
Fax
(408) 358-3505
NPI assigned
Jul 5, 2007
Last updated
Aug 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Eric Moss Kagel, M.D.NPI 1104822030
Title
President
Phone
(408) 358-3555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 00A727231 CA Primary

Addresses

Primary practice location

2505 Samaritan Dr
Suite 208
San Jose, CA 95124-4006

Mailing address

2505 Samaritan Dr
Suite 208
San Jose, CA 95124-4006
Phone (408) 358-3555

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12898/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1144428681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "SUITE 208",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244006",
            "telephone_number": "408-358-3555",
            "fax_number": "408-358-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "SUITE 208",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244006",
            "telephone_number": "408-358-3555",
            "fax_number": "408-358-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC M. KAGEL M.D. MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "KAGEL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MOSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-358-3555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "00A727231",
            "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 Aug 16, 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.