Organization Active NPI

H.P. Gulesserian, MD., Inc.

  • Surgical Oncology Physician
  • San Jose, CA
National Provider Identifier
1407042161
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
A24341 Issued in CA
Legal business name
H.P. GULESSERIAN, MD., INC.
Practice address
393 Blossom Hill Rd
Suite 310
San Jose, CA 95123-1652
Phone
(408) 578-5831
Fax
(408) 578-6076
NPI assigned
Sep 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Dr. Hrair Puzant Gulesserian, M.D.NPI 1689626301
Title
President
Phone
(408) 578-5831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X A24341 CA Primary

Addresses

Primary practice location

393 Blossom Hill Rd
Suite 310
San Jose, CA 95123-1652

Mailing address

393 Blossom Hill Rd
Suite 310
San Jose, CA 95123-1652
Phone (408) 578-5831

Other identifiers 1

IdentifierTypeStateIssuer
00A243410MedicaidCA

National Provider Directory

National Provider Directory

Locations

393 Blossom Hill Rd
Ste 310
San Jose, CA 95123
Phone (408) 578-5831

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": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1407042161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 BLOSSOM HILL RD",
            "address_2": "SUITE 310",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231652",
            "telephone_number": "408-578-5831",
            "fax_number": "408-578-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 BLOSSOM HILL RD",
            "address_2": "SUITE 310",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231652",
            "telephone_number": "408-578-5831",
            "fax_number": "408-578-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.P. GULESSERIAN, MD., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "GULESSERIAN",
        "authorized_official_first_name": "HRAIR",
        "authorized_official_middle_name": "PUZANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-578-5831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A24341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A243410",
            "state": "CA"
        }
    ],
    "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 17, 2013; 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.