Eduardo a. Vergara M.D. a Medical Corporation

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A37907 Issued in CA

Legal business name

EDUARDO A. VERGARA M.D. A MEDICAL CORPORATION

Practice address

2039 Forest Ave, 205-a
San Jose, CA 95128

Phone

(408) 294-1420

Fax

(408) 213-0820

NPI assigned

Jan 6, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Eduardo A. Vergara Sr., M.D.NPI 1487750345

Title

Doctor/Owner

Phone

(408) 294-1420

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eduardo Vergara Sr., MD

  • Obstetrics & Gynecology Physician
  • San Jose, CA
  • NPI 1487750345
  NPD (past) Authorized official

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1235409301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 FOREST AVE, 205-A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-294-1420",
            "fax_number": "408-213-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 FOREST AVE, 205-A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-294-1420",
            "fax_number": "408-213-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO A. VERGARA M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "VERGARA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "408-294-1420",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A37907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osafanmwen Edogun, RPH
• Edo Edok
• Abel Biruk Edossa
• Jluisa Edquilang
• Kim Alexis Mercado Edralin, PT
• Lay Eduarte
• Lynne Bernadette Hebron Eduvala
• Edward E Rotan MD Inc
• Edward H Ryono DDS Incorporated
• Edward J. Saub, M.D.

• Obstetrics & Gynecology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Obstetrics & Gynecology Physician in California

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