Individual provider Active NPI

Joanabel Padaca Sta Maria, M.D.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1487755682
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A73498 Issued in CA
Practice address
200 Jose Figueres Ave
260
San Jose, CA 95116-1500
Phone
(408) 251-0835
Fax
(408) 251-1221
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A73498 CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave
260
San Jose, CA 95116-1500

Mailing address

200 Jose Figueres Ave
260
San Jose, CA 95116-1500
Phone (408) 251-0835

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
I20120227000467 CA Practitioner - Family Practice 6406874387 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Cardiovascular Care a Medical CorporationGroup PAC ID 3779504485, 11 clinicians

Practice addresses (Care Compare)

1530 3Rd St
Suite 101
Lincoln, CA 95648-2500
Phone (916) 645-8302

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73498CAMDPharmacotherapy Pharmacist
A73498CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Cardiovascular Care a Medical Corporation Family Medicine CurrentSince Feb 9, 2021 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine CurrentSince Nov 9, 2019 Accepting new patients
Quantum Bay Area Hospitalist Medical Group Inc CurrentSince Aug 16, 2020 Accepting new patients
Action Urgent Care Inc Past Accepting new patients
County of Santa Clara Past Accepting new patients
Nong Group Family Medicine Past Accepting new patients

Locations

178 2nd St
Ste D
Gilroy, CA 95020
Phone (408) 842-5190

1530 3rd St
Ste 101
Lincoln, CA 95648
Phone (916) 645-8302

15891 Los Gatos Almaden Rd
Los Gatos, CA 95032
Phone (408) 358-5633

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

200 Jose Figueres Ave
Ste 325
San Jose, CA 95116
Phone (408) 937-9000

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

200 Jose Figueres Ave
Ste 260
San Jose, CA 95116
Phone (408) 251-0835

2016 Forest Ave
Ste 5
San Jose, CA 95128
Phone (408) 286-4600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jcepe41860@santaclaravalley.direct-ci.net
  • FHIR API: https://api.platform.athenahealth.com/24970/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487755682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "260",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "408-251-0835",
            "fax_number": "408-251-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "260",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "408-251-0835",
            "fax_number": "408-251-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STA MARIA",
        "first_name": "JOANABEL",
        "middle_name": "PADACA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A73498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.