Organization Active NPI

Health Mobile

  • Community Health Clinic/Center
  • San Jose, CA
National Provider Identifier
1508299967
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
070000669 Issued in CA
Legal business name
HEALTH MOBILE
Practice address
2324 Montpelier Dr Ste 3
San Jose, CA 95116-1612
Phone
(408) 879-0110
Fax
(408) 244-3995
NPI assigned
Aug 20, 2013
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Mr. Mike Reza, MBA
Title
Coo
Phone
(408) 879-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 070000669 CA Primary

Addresses

Primary practice location

2324 Montpelier Dr Ste 3
San Jose, CA 95116-1612

Mailing address

2324 Montpelier Dr Ste 3
San Jose, CA 95116-1612
Phone (408) 879-0110

National Provider Directory

National Provider Directory

Locations

2324 Montpelier Dr
Ste 3
San Jose, CA 95116
Phone (408) 879-0110

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1508299967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 MONTPELIER DR STE 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161612",
            "telephone_number": "408-879-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 MONTPELIER DR STE 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161612",
            "telephone_number": "408-879-0110",
            "fax_number": "408-244-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH MOBILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "REZA",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "408-879-0110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "070000669",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 20, 2013; 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.