Active NPI
Asuncion Purisima Disini, M.D.
- Pediatrics Physician
- San Jose, CA
National Provider Identifier
1508100769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C39875
- Practice address
- 1057 Woodview PL
San Jose, CA 95120-3233 - Phone
- (408) 268-8027
- NPI assigned
- Nov 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C39875 | CA | Primary |
Addresses
Primary practice location
1057 Woodview PL
San Jose, CA 95120-3233
Mailing address
1057 Woodview PL
San Jose, CA 95120-3233
Phone (408) 268-8027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D61827 | Other | CA | MEDI-CAL UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C39875 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352592000000",
"number": "1508100769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1057 WOODVIEW PL",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951203233",
"telephone_number": "408-268-8027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1057 WOODVIEW PL",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951203233",
"telephone_number": "408-268-8027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISINI",
"first_name": "ASUNCION",
"middle_name": "PURISIMA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-11",
"last_updated": "2012-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C39875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL UPIN",
"identifier": "D61827",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.