Active NPI
Michelle Maxey, M.D.
- Family Medicine Physician
- San Jose, CA
National Provider Identifier
1316023005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G72390
- Practice address
- 455 Oconnor Dr
Suite 210
San Jose, CA 95128-1633 - Phone
- (408) 995-5453
- Fax
- (408) 275-9442
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G72390 | CA | Primary |
Addresses
Primary practice location
455 Oconnor Dr
Suite 210
San Jose, CA 95128-1633
Mailing address
455 Oconnor Dr
Suite 210
San Jose, CA 95128-1633
Phone (408) 995-5453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine Associates of San Jose Inc | Family Medicine | Past | Accepting new patients |
| Family Practice Medical Associates, Inc. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- San Jose, CA
- NPI 1932268109
-
- Family Medicine Physician
- San Jose, CA
- NPI 1205880366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1316023005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 OCONNOR DR",
"address_2": "SUITE 210",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281633",
"telephone_number": "408-995-5453",
"fax_number": "408-275-9442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 OCONNOR DR",
"address_2": "SUITE 210",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281633",
"telephone_number": "408-995-5453",
"fax_number": "408-275-9442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXEY",
"first_name": "MICHELLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G72390",
"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 Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.