Active NPI
South Bay Brain and Spine
- Specialist
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A50900
- Legal business name
- SOUTH BAY BRAIN AND SPINE
- Practice address
- 2577 Samaritan Dr
Suite 710
San Jose, CA 95124-4100 - Phone
- (408) 358-0133
- Fax
- (408) 358-8134
- NPI assigned
- Aug 31, 2012
- Last updated
- Aug 31, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Blumenfeld, M.D.
- Title
- M.D.
- Phone
- (408) 358-0133
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A50900 | CA | Primary |
Addresses
Primary practice location
2577 Samaritan Dr
Suite 710
San Jose, CA 95124-4100
Mailing address
2577 Samaritan Dr
Suite 710
San Jose, CA 95124-4100
Phone (408) 358-0133
National Provider Directory
National Provider Directory- Tax ID family
- South Bay Brain and Spine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- San Jose, CA
- NPI 1114272978
Locations
2577 Samaritan Dr
Ste 710
San Jose, CA 95124
Phone (408) 356-2164
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Specialist
- San Jose, CA
- NPI 1235158254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346371200000",
"number": "1245589589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2577 SAMARITAN DR",
"address_2": "SUITE 710",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244100",
"telephone_number": "408-358-0133",
"fax_number": "408-358-8134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2577 SAMARITAN DR",
"address_2": "SUITE 710",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244100",
"telephone_number": "408-358-0133",
"fax_number": "408-358-8134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH BAY BRAIN AND SPINE",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-31",
"last_updated": "2012-08-31",
"status": "A",
"authorized_official_last_name": "BLUMENFELD",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "408-358-0133",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A50900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
- Raquel Sousa
- Tiffany R Sousa
- South Bay Allergy & Asthma Group Inc
- South Bay Bariatrics Medical Corporation PC
- South Bay Brain and Spine
- South Bay Cardiology
- South Bay Cardiovascular Medical Group, Inc
- South Bay Community Counseling Center
- South Bay Endoscopy Center a Medical Corporation
- South Bay Gi Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.