Neil Samuel Adler, PA
Individual provider Active NPI Surgical Physician Assistant · San Jose, CA
NPI 1447223276 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1447223276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 14094 (CA)
- Practice address
- 751 S Bascom Ave
San Jose, CA 95128-2604 - Phone
- (408) 885-5000
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040309001330 | CA | Practitioner - Physician Assistant | 4082502166 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Mateo | Current |
Accepting new patients | |
| County of San Mateo | Current |
Accepting new patients | |
| St Francis Medical Group PC | Past |
Accepting new patients |
Locations
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 14094 | CA | Yes |
Addresses
Primary practice location
751 S Bascom Ave
San Jose, CA 95128-2604
Mailing address
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5000
Other providers in San Jose, CA
- Sushil Adhikari
- Adi-Op, Inc.
- Nina Adib
- Dyan Adinamis
- Joanne Adkins
- Ruth Admasu
- Snehal Adodra
- Shanel Adolfo
- Mayu Anna Adomi
- Abegail Adona
All providers in San Jose, CA · Surgical Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.