Active NPI
H.P. Gulesserian, MD., Inc.
- Surgical Oncology Physician
- San Jose, CA
National Provider Identifier
1407042161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- A24341
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A243410 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgical Oncology Physician
- San Jose, CA
- NPI 1689626301
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.