NPIMap

Organization Active NPI

CFL Children'S Medical Associates, Inc.

  • Pediatrics Physician
  • San Jose, CA
National Provider Identifier
1497700322
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A45172 Issued in CA
Legal business name
CFL CHILDREN'S MEDICAL ASSOCIATES, INC.
Practice address
2039 Forest Ave
Suite 304
San Jose, CA 95128-4817
Phone
(408) 297-5959
Fax
(408) 297-5970
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Narciso Thad Padua, M.D.NPI 1235184219
Title
President
Phone
(408) 947-2697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A45172 CA Primary

Addresses

Primary practice location

2039 Forest Ave
Suite 304
San Jose, CA 95128-4817

Mailing address

2039 Forest Ave
Suite 304
San Jose, CA 95128-4817
Phone (408) 297-5959

Other identifiers 3

IdentifierTypeStateIssuer
GR0060090MedicaidCA
GR0060091MedicaidCA
ZZZ01893ZOtherCABLUE SHIELD GROUP NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497700322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 FOREST AVE",
            "address_2": "SUITE 304",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284817",
            "telephone_number": "408-297-5959",
            "fax_number": "408-297-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 FOREST AVE",
            "address_2": "SUITE 304",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284817",
            "telephone_number": "408-297-5959",
            "fax_number": "408-297-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFL CHILDREN'S MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADUA",
        "authorized_official_first_name": "NARCISO",
        "authorized_official_middle_name": "THAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-947-2697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A45172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0060090",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0060091",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "ZZZ01893Z",
            "state": "CA"
        }
    ],
    "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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.