San Jose Nephrology Medical Practice

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SAN JOSE NEPHROLOGY MEDICAL PRACTICE

Practice address

2360 McKee Rd
Suite 10
San Jose, CA 95116-1618

Phone

(408) 729-7128

Fax

(408) 729-4125

NPI assigned

Jun 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Maggie ChenNPI 1649470683

Title

MD, Ceo

Phone

(408) 729-7128

Specialties & licenses 1

Addresses

Other names 1

• San Jose Nephrology Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10582/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Maggie Chen, MD

  • Nephrology Physician
  • San Jose, CA
  • NPI 1649470683
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1265846133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MCKEE RD",
            "address_2": "SUITE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161618",
            "telephone_number": "408-729-7128",
            "fax_number": "408-729-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MCKEE RD",
            "address_2": "SUITE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161618",
            "telephone_number": "408-729-7128",
            "fax_number": "408-729-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE NEPHROLOGY MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "MD, CEO",
        "authorized_official_telephone_number": "408-729-7128",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Jose Nephrology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Jose Medical Clinic, Inc.
• San Jose Medical Management, Inc.
• San Jose Medical Supply Co Inc
• San Jose Mothers' Milk Bank
• San Jose Mothers' Milk Bank
• San Jose Orthopedic Associates Medical Corporation
• San Jose Pacific Neurology CNTR Prof Cor
• San Jose Physical Therapy Incorporated
• San Jose Pulmonary Associates
• San Jose Refractive, LLC

• Nephrology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.