Organization Active NPI

Pamela Mehta MD Inc

  • Orthopaedic Surgery Physician
  • San Jose, CA
National Provider Identifier
1295187060
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PAMELA MEHTA MD INC
Practice address
2242 Camden Ave
Suite 104
San Jose, CA 95124-2029
Phone
(415) 871-5520
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Pamela Mehta, MDNPI 1841571411
Title
Ceo
Phone
(415) 871-5520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2242 Camden Ave
Suite 104
San Jose, CA 95124-2029

Mailing address

1060 Willow St
Suite 3-110
San Jose, CA 95125-2350
Phone (415) 871-5520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160902000423 CA Part B Supplier - Clinic/Group Practice 3971899758 Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

2242 Camden Ave
Ste 104
San Jose, CA 95124
Phone (408) 471-7138

3043 Meridian Ave
San Jose, CA 95124

1060 Willow St
Ste 3110
San Jose, CA 95125

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1295187060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WILLOW ST",
            "address_2": "SUITE 3-110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252350",
            "telephone_number": "415-871-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 CAMDEN AVE",
            "address_2": "SUITE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242029",
            "telephone_number": "415-871-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA MEHTA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-871-5520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "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 Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.