San Jose Orthopedic Associates Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G33893 Issued in CA

Legal business name

SAN JOSE ORTHOPEDIC ASSOCIATES MEDICAL CORPORATION

Practice address

2505 Samaritan Dr
Suite 210
San Jose, CA 95124-4008

Phone

(408) 358-8300

Fax

(408) 358-8301

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Ira Golod, M.D.

Title

President

Phone

(408) 358-8300

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8373/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Eric Moss Kagel, M.D.

  • Orthopaedic Hand Surgery Physician
  • San Jose, CA
  • NPI 1104822030

  Specialist

  NPD (past)
• Leo B Semkiw, M.D.

  • Specialist
  • San Jose, CA
  • NPI 1215949110
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1508908518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "SUITE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244008",
            "telephone_number": "408-358-8300",
            "fax_number": "408-358-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "SUITE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244008",
            "telephone_number": "408-358-8300",
            "fax_number": "408-358-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE ORTHOPEDIC ASSOCIATES MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "GOLOD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-358-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G33893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA7662",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ02894Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• San Jose Medical Management, Inc.
• San Jose Medical Supply Co Inc
• San Jose Mothers' Milk Bank
• San Jose Mothers' Milk Bank
• San Jose Nephrology Medical Practice
• San Jose Pacific Neurology CNTR Prof Cor
• San Jose Physical Therapy Incorporated
• San Jose Pulmonary Associates
• San Jose Refractive, LLC
• San Jose Sports Medicine & Orthopedics

• Specialist in San Jose, CA
• Providers in San Jose, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.