Individual provider Active NPI

Daniel H Jo, M.D.

  • Rheumatology Physician
  • Mountain View, CA
National Provider Identifier
1508150590
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
147880 Issued in CA
Practice address
2500 Hospital Dr Ste 15E
Mountain View, CA 94040-4107
Phone
(650) 695-6421
Fax
(650) 590-0972
NPI assigned
Jun 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 147880 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 147880 CA
Rheumatology Physician 207RR0500X 147880 CA Primary

Addresses

Primary practice location

2500 Hospital Dr Ste 15E
Mountain View, CA 94040-4107

Mailing address

1030 E El Camino Real # 151
Sunnyvale, CA 94087-3759
Phone (408) 780-4071

Other practice location 1

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (201) 370-5578

Other practice location 2

1150 Tilton Dr
Sunnyvale, CA 94087-2440
Phone (408) 735-7200

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
I20170628002703 CA Practitioner - RheumatologyPractitioner - Internal Medicine 8729398722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Bay Medical Associates IncGroup PAC ID 1759634256, 2 clinicians

Practice addresses (Care Compare)

15100 Los Gatos Blvd
Suite 1
Los Gatos, CA 95032-2028
Phone (408) 909-1350

2495 Hospital Dr
Suite 660
Mountain View, CA 94040-4187
Phone (650) 695-6421

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
147880CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Medical Associates, Inc Geriatric Medicine CurrentSince May 17, 2018 Accepting new patients
Quantum Bay Area Hospitalist Medical Group Inc Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
El Camino Hospital Past Accepting new patients
St. Francis Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients
St Francis Hospital United States Catholic Conference Past Accepting new patients

Locations

15100 Los Gatos Blvd
Ste 1
Los Gatos, CA 95032
Phone (408) 358-1460

2495 Hospital Dr
Ste 660
Mountain View, CA 94040
Phone (650) 695-6421

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

2500 Hospital Dr
Ste 15E
Mountain View, CA 94040
Phone (650) 502-1800

1291 S Bernardo Ave
Sunnyvale, CA 94087
Phone (408) 245-8070

1030 E El Camino Real
Sunnyvale, CA 94087
Phone (408) 724-8466

1150 Tilton Dr
Sunnyvale, CA 94087
Phone (408) 735-2700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GICHDD/Endpoint/GICHDD
  • FHIR API: https://api.platform.athenahealth.com/21626/brand/2/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Health Care Ctr at the Forum at Rancho San AntonioCupertino, CA, CCN 555524 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Feb 1, 2025
Apr 22, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 6

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508150590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 E EL CAMINO REAL # 151",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873759",
            "telephone_number": "408-780-4071",
            "fax_number": "408-400-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR STE 15E",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404107",
            "telephone_number": "650-695-6421",
            "fax_number": "650-590-0972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940404302",
            "country_code": "US",
            "telephone_number": "201-370-5578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 Tilton Dr",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940872440",
            "country_code": "US",
            "telephone_number": "408-735-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JO",
        "first_name": "DANIEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "147880",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "147880",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "147880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.