Organization Active NPI

Silicon Valley Medical Clinic, Inc.

  • Family Medicine Physician
  • Milpitas, CA
National Provider Identifier
1205280526
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A35561 Issued in CA
Legal business name
SILICON VALLEY MEDICAL CLINIC, INC.
Practice address
1113 S Park Victoria Dr
Milpitas, CA 95035-6942
Phone
(408) 945-0300
Fax
(408) 946-7533
NPI assigned
Apr 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Neema B Malhotra, M.D.
Title
Ceo
Phone
(408) 674-6500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A35561 CA Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 132333 CA

Addresses

Primary practice location

1113 S Park Victoria Dr
Milpitas, CA 95035-6942

Mailing address

1113 S Park Victoria Dr
Milpitas, CA 95035-6942
Phone (408) 945-0300

Other names 1

  • SILICON VALLEY MEDICAL CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210215000494 CA Part B Supplier - Clinic/Group Practice 6709291271 Receives reassigned benefits from 2 practitioners
Practice locations: Milpitas, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0917308Silicon Valley Medical Clinic1113 S Park Victoria Dr, Milpitas, CA 95035Certificate of waiverJul 14, 2028

National Provider Directory

National Provider Directory

Locations

1113 S Park Victoria Dr
Milpitas, CA 95035
Phone (408) 620-0717

Practitioners & affiliated clinicians

Practitioners 2

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": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1205280526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 S PARK VICTORIA DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356942",
            "telephone_number": "408-945-0300",
            "fax_number": "408-946-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 S PARK VICTORIA DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356942",
            "telephone_number": "408-945-0300",
            "fax_number": "408-946-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILICON VALLEY MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "NEEMA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-674-6500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A35561",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "132333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SILICON VALLEY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.