Active NPI
Northern California Trauma Medical Group, Inc.
- Surgery Physician
- San Jose, CA
National Provider Identifier
1376614735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- NORTHERN CALIFORNIA TRAUMA MEDICAL GROUP, INC.
- Practice address
- 2505 Samaritan Dr Ste 601
San Jose, CA 95124-4017 - Phone
- (408) 358-1024
- Fax
- (408) 358-1075
- NPI assigned
- Nov 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James G Hinsdale
- Title
- President
- Phone
- (408) 358-1024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | CA | Primary |
Addresses
Primary practice location
2505 Samaritan Dr Ste 601
San Jose, CA 95124-4017
Mailing address
2505 Samaritan Dr Ste 601
San Jose, CA 95124-4017
Phone (408) 358-1024
National Provider Directory
National Provider DirectoryLocations
725 E Santa Clara St
Ste 303
San Jose, CA 95112
Phone (408) 971-7187
2101 Forest Ave
Ste 108
San Jose, CA 95128
Phone (408) 295-7608
2505 Samaritan Dr
Ste 601
San Jose, CA 95124
Phone (408) 358-1024
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- San Jose, CA
- NPI 1508968371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295568000000",
"number": "1376614735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 SAMARITAN DR STE 601",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244017",
"telephone_number": "408-358-1024",
"fax_number": "408-358-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 SAMARITAN DR STE 601",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244017",
"telephone_number": "408-358-1024",
"fax_number": "408-358-1075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN CALIFORNIA TRAUMA MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2011-01-21",
"status": "A",
"authorized_official_last_name": "HINSDALE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-358-1024"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"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 Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.