Individual provider Active NPI

Steven A Nemirov

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1487644779
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A5606 Issued in CA
Practice address
2100 Forest Ave
Suite 108
San Jose, CA 95128-1422
Phone
(408) 297-7909
Fax
(408) 297-7913
NPI assigned
Oct 27, 2005
Last updated
May 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A5606 CA Primary

Addresses

Primary practice location

2100 Forest Ave
Suite 108
San Jose, CA 95128-1422

Mailing address

2100 Forest Ave
Suite 108
San Jose, CA 95128-1422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081115000136 CA Practitioner - Internal Medicine 5890855241 Reassigns benefits to 2 organizations
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

500 Superior Ave
Suite 200
Newport Beach, CA 92663-3659
Phone (949) 629-2600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20A5606CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Verity Medical Foundation CurrentSince Jan 1, 2017 Accepting new patients
DCHS Medical Foundation Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Hoag Clinic CurrentSince Oct 17, 2024 Accepting new patients
David Abrahamson MD Inc Internal Medicine PastSince Oct 17, 2024 Accepting new patients

Locations

25455 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 894-7056

500 Superior Ave
Ste 200
Newport Beach, CA 92663
Phone (949) 262-2996

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

2100 Forest Ave
Ste 104
San Jose, CA 95128
Phone (408) 292-3991

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1487644779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 FOREST AVE",
            "address_2": "SUITE 108",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 FOREST AVE",
            "address_2": "SUITE 108",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281422",
            "telephone_number": "408-297-7909",
            "fax_number": "408-297-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMIROV",
        "first_name": "STEVEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A5606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.