Omid H. Javadi PC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

C55150 Issued in CA

Legal business name

OMID H. JAVADI PC

Practice address

2505 Samaritan Dr
Ste 503
San Jose, CA 95124-4006

Phone

(224) 619-4937

NPI assigned

Nov 12, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Omid H Javadi, MD

Title

President

Phone

(224) 619-4937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Omid Hajiseyedjavadi, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Chandler, AZ
  • NPI 1720032808

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1437555836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 CANBY AVE",
            "address_2": "STE 101",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354307",
            "telephone_number": "818-668-8210",
            "fax_number": "818-668-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "STE 503",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244006",
            "telephone_number": "224-619-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMID H. JAVADI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "JAVADI",
        "authorized_official_first_name": "OMID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-619-4937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "C55150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Joy Olszewski, BA
• Josefina Olvera Garcia
• Isaac Olvera Jaimes
• Yasser Omar, M.D.
• Ometri, LLC
• Joanna Ebunoluwa Omitade
• Naomi Omotola, BCBA
• Ali Omrani, PHARMD
• Ted H. Omura, DC
• On Lok Senior Health Services

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.