Organization Active NPI

Central Medical Center Inc

  • Internal Medicine Physician
  • Santa Clara, CA
National Provider Identifier
1497928360
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CENTRAL MEDICAL CENTER INC
Practice address
2344 El Camino Real Ste 105
Santa Clara, CA 95050-4072
Phone
(408) 249-1212
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Kisuk Cho
Title
President
Phone
(408) 249-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2344 El Camino Real Ste 105
Santa Clara, CA 95050-4072

Mailing address

2344 El Camino Real Ste 105
Santa Clara, CA 95050-4072

Other practice location 1

3130 W Olympic Blvd Ste 230
Los Angeles, CA 90006-2485
Phone (323) 402-0414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081217000534 CA Part B Supplier - Clinic/Group Practice 0446312961 Receives reassigned benefits from 3 practitioners
Practice locations: Santa Clara, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2281583Central Medical Center, Inc2344 El Camino Real, Suite 105, Santa Clara, CA 95050Certificate of waiverMay 8, 2027

National Provider Directory

National Provider Directory

Locations

3130 W Olympic Blvd
Ste 230
Los Angeles, CA 90006
Phone (323) 402-0414

2344 El Camino Real
Ste 105
Santa Clara, CA 95050
Phone (408) 249-1212

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": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1497928360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 EL CAMINO REAL STE 105",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 EL CAMINO REAL STE 105",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504072",
            "telephone_number": "408-249-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 W Olympic Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900062485",
            "country_code": "US",
            "telephone_number": "323-402-0414",
            "fax_number": "323-402-0616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "KISUK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-249-1212"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.