Organization Active NPI

Northern California Trauma Medical Group, Inc.

  • Surgery Physician
  • San Jose, CA
National Provider Identifier
1376614735
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Jan 21, 2011

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.