Prohealth Care, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

44893 Issued in CA

Legal business name

PROHEALTH CARE, INC.

Practice address

1590 Oakland Rd
B 105
San Jose, CA 95131-2443

Phone

(408) 452-1658

Fax

(408) 452-7703

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Malalai Mohideen

Title

President

Phone

(408) 452-1658

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407928054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 OAKLAND RD",
            "address_2": "B 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312443",
            "telephone_number": "408-452-1658",
            "fax_number": "408-452-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 OAKLAND RD",
            "address_2": "B 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312443",
            "telephone_number": "408-452-1658",
            "fax_number": "408-452-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOHIDEEN",
        "authorized_official_first_name": "MALALAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-452-1658"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "44893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in San Jose, CA
• Providers in San Jose, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.