John P Smith MD a Professional Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

JOHN P SMITH MD A PROFESSIONAL CORPORATION

Practice address

14911 National Ave
Ste 1
Los Gatos, CA 95032-2632

Phone

(408) 358-3448

Fax

(408) 356-4628

NPI assigned

Oct 14, 2005

Organization subpart

No

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

Authorized official

Name

Dr. John Philip Smith III, MD

Title

President

Phone

(408) 406-1895

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• National Avenue Medical Associates Doing business as

Locations

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1548259385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 MONTEVAL PL",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951205714",
            "telephone_number": "408-406-1895",
            "fax_number": "408-268-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14911 NATIONAL AVE",
            "address_2": "STE 1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322632",
            "telephone_number": "408-358-3448",
            "fax_number": "408-356-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P SMITH MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-406-1895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0082830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF8105",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Avenue Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "National Avenue Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thaichan Jobalia, MD
• John C Whitney MD, a Medical Corporation
• John Cornelius Penner, MD
• John Miles Au.D.
• John P Colman MD Inc
• John S Rollins, MD Medical Corporation
• Amuthavalli Ath Merc John Sundarraj, FNP
• Harsha John
• Sindhu John
• Liseth Maria Johns, PT

• Cardiovascular Disease Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.