Active NPI
Miel Marie Vallejo-Brooks, MD
- Obstetrics Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- A77518
- Practice address
- 751 S Bascom Ave
OB/GYN Dept
San Jose, CA 95128-2604 - Phone
- (408) 885-5550
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | A77518 | CA | Primary |
Addresses
Primary practice location
751 S Bascom Ave
OB/GYN Dept
San Jose, CA 95128-2604
Mailing address
PO Box 5280
Patient Business Services
San Jose, CA 95150-5280
Phone (408) 885-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A775180 | Medicaid | CA |
Other names 1
- Miel Marie Vallejo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of California, Davis School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A77518 | CA | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Past | Accepting new patients |
Locations
2425 Enborg Ln
San Jose, CA 95128
Phone (408) 885-5400
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
750 S Bascom Ave
#1112
San Jose, CA 95128
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
Interoperability endpoints
- mvallejobrooks11666@santaclaravalley.direct-ci.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264032000000",
"number": "1215952056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5280",
"address_2": "PATIENT BUSINESS SERVICES",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951505280",
"telephone_number": "408-885-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 S BASCOM AVE",
"address_2": "OB/GYN DEPT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282604",
"telephone_number": "408-885-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLEJO-BROOKS",
"first_name": "MIEL",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2010-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "A77518",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A775180",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MIEL",
"last_name": "VALLEJO",
"middle_name": "MARIE",
"credential": "MD",
"code": "1",
"type": "Former 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 Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.