Active NPI
Ajooma Joy Cheeramkuzhiyil
- Family Medicine Physician
- San Jose, CA
National Provider Identifier
1235612078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 95009605
- Practice address
- 1149 E Julian St BLDG H
San Jose, CA 95116-1005 - Phone
- (408) 535-6001
- Fax
- (408) 535-2348
- NPI assigned
- Sep 7, 2018
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 95009605 | CA | Primary |
Addresses
Primary practice location
1149 E Julian St BLDG H
San Jose, CA 95116-1005
Mailing address
6840 Via del Oro Ste 210
San Jose, CA 95119-1372
Phone (408) 284-2280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95009605 | CA | MD | Family Medicine Physician |
Interoperability endpoints
- acheeramkuzhiyil574661@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1235612078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6840 VIA DEL ORO STE 210",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191372",
"telephone_number": "408-284-2280",
"fax_number": "408-754-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 E JULIAN ST BLDG H",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161005",
"telephone_number": "408-535-6001",
"fax_number": "408-535-2348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEERAMKUZHIYIL",
"first_name": "AJOOMA",
"middle_name": "JOY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-07",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "95009605",
"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 Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.