San Jose Medical Supply Co Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

100890 Issued in CA

Legal business name

SAN JOSE MEDICAL SUPPLY CO INC

Practice address

283 East Brokaw Road
San Jose, CA 95112

Phone

(408) 573-7200

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jessica Santa Ana

Title

Administrative Assistant

Phone

(408) 573-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1306917745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 EAST BROKAW ROAD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95112",
            "telephone_number": "408-573-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 EAST BROKAW ROAD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95112",
            "telephone_number": "408-573-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE MEDICAL SUPPLY CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "SANTA ANA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "408-573-7200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01174F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• San Jose Healthcare System, L.P.
• San Jose Hospice and Palliative Care
• San Jose Imaging Center
• San Jose Medical Clinic, Inc.
• San Jose Medical Management, Inc.
• San Jose Mothers' Milk Bank
• San Jose Mothers' Milk Bank
• San Jose Nephrology Medical Practice
• San Jose Orthopedic Associates Medical Corporation
• San Jose Pacific Neurology CNTR Prof Cor

• Durable Medical Equipment & Medical Supplies in San Jose, CA
• Providers in San Jose, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.