Samaritan Internal Medicine Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SAMARITAN INTERNAL MEDICINE MEDICAL GROUP

Practice address

2410 Samaritan Dr Ste 201
San Jose, CA 95124-3909

Phone

(408) 371-9010

Fax

(408) 371-1850

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Carmen A Patia

Title

Office Manager

Phone

(408) 371-6842

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

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

• Jane W. Chien, MD

  • Internal Medicine Physician
  • Los Gatos, CA
  • NPI 1588620785
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255482105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SAMARITAN DR STE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243909",
            "telephone_number": "408-371-9010",
            "fax_number": "408-371-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SAMARITAN DR STE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243909",
            "telephone_number": "408-371-9010",
            "fax_number": "408-371-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN INTERNAL MEDICINE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATIA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-371-6842",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI JANE W CHIEN",
            "identifier": "1588620785",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI JOE L MORGENSEN",
            "identifier": "1609832815",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CAMERON I OBA",
            "identifier": "1851357917",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI SUNITHA GUBBALA",
            "identifier": "1992761118",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samaritan Advanced Healthcare Inc
• Samaritan Apothecary Pharmacy Inc.
• Samaritan Dental Care
• Samaritan Family Practice
• Samaritan Hearing Aid Specialist
• Samaritan Medical Center Pharmacy
• Samaritan Orthopedic & Medical GP. Inc
• Samaritan Plastic Surgery Center, Inc
• Samaritan Podiatry Group Inc.
• Samaritan Surgery Center

• Internal Medicine Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.