South Valley Multi Specialty Medical Group Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SOUTH VALLEY MULTI SPECIALTY MEDICAL GROUP INC

Practice address

173 N Morrison Ave
Suite C
San Jose, CA 95126-2712

Phone

(408) 293-1992

Fax

(408) 293-6030

NPI assigned

Apr 13, 2006

Last updated

Dec 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Costantino T Gallo, M.D.NPI 1669402384

Title

President, Ceo

Phone

(408) 293-1992

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Costantino T Gallo, M.D.

  • Cardiovascular Disease Physician
  • San Jose, CA
  • NPI 1669402384
  Medicare reassignment Authorized official
• Norman S Lowenbraun, M.D.

  • Cardiovascular Disease Physician
  • San Jose, CA
  • NPI 1962448530
  Medicare reassignment NPD

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1215991583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 N MORRISON AVE",
            "address_2": "SUITE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262712",
            "telephone_number": "408-293-1992",
            "fax_number": "408-293-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 N MORRISON AVE",
            "address_2": "SUITE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262712",
            "telephone_number": "408-293-1992",
            "fax_number": "408-293-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY MULTI SPECIALTY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "COSTANTINO",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "408-293-1992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• South Springs Home Health Care Inc
• South Valley Health Center
• South Valley Health LLC
• South Valley Physical Therapy, Inc.
• South Valley Surgical Associates
• Madeline Taylor Southall
• Southbay Colorectal Surgery Solutions
• Vanessa Souza, LCSW

• Cardiovascular Disease Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.