Sally E Nacianceno MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A29762 Issued in CA

Legal business name

SALLY E NACIANCENO MD INC

Practice address

175 N Jackson Ave Ste 110
San Jose, CA 95116-1909

Phone

(408) 251-3364

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sally E Nacianceno, MD

Title

President

Phone

(408) 251-3364

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1396960605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE STE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909",
            "telephone_number": "408-251-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE STE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909",
            "telephone_number": "408-251-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY E NACIANCENO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "NACIANCENO",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-251-3364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A29762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NO.",
            "identifier": "A29762",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicolas Salinas IV
• Elvie Salindo
• Kristy Salindo
• Laura Sallette
• Sallie Danenberg, LMFT
• Samer Salmo, M.D
• Diane Salmon
• Patricia Marie Salmon, M.D.
• Liat Salomon
• Victoria Salow

• Gastroenterology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.