NPIMap

Organization Active NPI

John P Owens MD Inc

Doing business as Pediatric Cardiology Associates

  • Pediatric Cardiology Physician
  • Capitola, CA
National Provider Identifier
1427351329
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A95299 Issued in CA
Legal business name
JOHN P OWENS MD INC
Doing business as
Pediatric Cardiology Associates
Practice address
820 Bay Ave Ste 210
Capitola, CA 95010-2103
Phone
(831) 457-2361
Fax
(831) 457-2299
NPI assigned
Dec 15, 2010
Last updated
Dec 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Michael P Tran, MD
Title
President
Phone
(831) 457-2361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X A95299 CA Primary

Addresses

Primary practice location

820 Bay Ave Ste 210
Capitola, CA 95010-2103

Mailing address

1688 Willow St Ste C
San Jose, CA 95125-5109
Phone (408) 448-2817

Other identifiers 1

IdentifierTypeStateIssuer
1376562173MedicaidCA

Other names 1

  • PEDIATRIC CARDIOLOGY ASSOCIATES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John P Owens MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1688 Willow St
Ste C
San Jose, CA 95125
Phone (408) 356-1364

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1427351329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 WILLOW ST STE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255109",
            "telephone_number": "408-448-2817",
            "fax_number": "408-448-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BAY AVE STE 210",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102103",
            "telephone_number": "831-457-2361",
            "fax_number": "831-457-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P OWENS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-457-2361",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A95299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376562173",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDIATRIC CARDIOLOGY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.