Santa Clara Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A80435 Issued in CA

Legal business name

SANTA CLARA MEDICAL GROUP INC

Practice address

2040 Forest Ave Ste 5
San Jose, CA 95128-4816

Phone

(408) 241-2900

Fax

(408) 244-1696

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dhanu Kapoor, M.D.,NPI 1942212758

Title

President

Phone

(408) 241-2900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Dhanu Kapoor, M.D

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1942212758
  Medicare reassignment NPD Authorized official
• Tripty Manoj Gandhi, MD

  • Family Medicine Physician
  • Santa Clara, CA
  • NPI 1700829512
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1306918461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 FOREST AVE STE 5",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284816",
            "telephone_number": "408-241-2900",
            "fax_number": "408-244-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 FOREST AVE STE 5",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284816",
            "telephone_number": "408-241-2900",
            "fax_number": "408-244-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "KAPOOR",
        "authorized_official_first_name": "DHANU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-241-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A80435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santa Clara County Mental Health Department
• Santa Clara County Office of Education
• Santa Clara County Pals Program
• Santa Clara Drug
• Santa Clara Hospice
• Santa Clara OB/GYN Medical Group
• Santa Clara Ophthalmology Incorporated
• Santa Clara Ostomy & Medical Supply
• Santa Clara Valley Medical Center
• Santa Clara Valley Medical Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.