Active NPI
Cupid Medical of California P.C.
- Internal Medicine Physician
- San Jose, CA
National Provider Identifier
1447967922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CUPID MEDICAL OF CALIFORNIA P.C.
- Practice address
- 99 Almaden Blvd Ste 600
San Jose, CA 95113-1605 - Phone
- (323) 894-9294
- NPI assigned
- Nov 3, 2022
- 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
- Conner Walsh
- Title
- Consultant
- Phone
- (323) 894-9294
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
99 Almaden Blvd Ste 600
San Jose, CA 95113-1605
Mailing address
8 The GRN Ste 11670
Dover, DE 19901-3618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
99 Almaden Blvd
Ste 636
San Jose, CA 95113
10 Dorrance St
Ste 700
Providence, RI 02903
Phone (401) 200-8242
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- NPI 1609501741
-
- Pediatrics Physician
- Washington, DC
- NPI 1932423993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724198400000",
"number": "1447967922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 THE GRN STE 11670",
"city": "DOVER",
"state": "DE",
"postal_code": "199013618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 ALMADEN BLVD STE 600",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951131605",
"telephone_number": "323-894-9294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUPID MEDICAL OF CALIFORNIA P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-03",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A",
"authorized_official_last_name": "WALSH",
"authorized_official_first_name": "CONNER",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "323-894-9294"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 21, 2024; 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.