Active NPI
Mehdi Koolaee, M.D.
- Forensic Pathology Physician
- San Jose, CA
National Provider Identifier
1316250376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- 142664
- Practice address
- 850 Thornton Way
San Jose, CA 95128-4702 - Phone
- (408) 793-1900
- NPI assigned
- Jul 20, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | 142664 | CA | Primary |
Addresses
Primary practice location
850 Thornton Way
San Jose, CA 95128-4702
Mailing address
850 Thornton Way
San Jose, CA 95128-4702
Phone (408) 793-1900
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142664 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1316250376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 THORNTON WAY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284702",
"telephone_number": "408-793-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 THORNTON WAY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284702",
"telephone_number": "408-793-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOOLAEE",
"first_name": "MEHDI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "CA",
"license": "142664",
"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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.