Individual provider Active NPI

Pier Francesco Indelli

  • Adult Reconstructive Orthopaedic Surgery Physician
  • San Jose, CA
National Provider Identifier
1255638151
Registry record updated Feb 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
IN PROCESS Issued in CA
Practice address
6841 Tunbridge Way
San Jose, CA 95120-2145
Phone
(408) 268-5101
NPI assigned
Feb 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X IN PROCESS CA Primary

Addresses

Primary practice location

6841 Tunbridge Way
San Jose, CA 95120-2145

Mailing address

6841 Tunbridge Way
San Jose, CA 95120-2145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160414001940 CA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 7911205505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IN PROCESSCAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1297468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297468800000",
    "number": "1255638151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6841 TUNBRIDGE WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6841 TUNBRIDGE WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202145",
            "telephone_number": "408-268-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDELLI",
        "first_name": "PIER FRANCESCO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-12",
        "last_updated": "2011-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "IN PROCESS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.