Active NPI
Thaichan Jobalia, MD
- Internal Medicine Physician
- Los Gatos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A62153
- Practice address
- 15400 Los Gatos Blvd
Los Gatos, CA 95032-2502 - Phone
- (408) 523-3102
- NPI assigned
- Apr 12, 2006
- Last updated
- Sep 20, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A62153 | CA | Primary |
Addresses
Primary practice location
15400 Los Gatos Blvd
Los Gatos, CA 95032-2502
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (408) 523-3102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A621530 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- University of California, Geffen School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1071 Blossom Hill Rd
San Jose, CA 95123-1105
Phone (408) 445-4010
123 S San Mateo Dr
San Mateo, CA 94401-3804
Phone (650) 343-4200
15400 Los Gatos Blvd
Los Gatos, CA 95032-2502
Phone (408) 739-6000
16130 Juan Hernandez Dr
Morgan Hill, CA 95037-5527
2441 Mission College Blvd
Santa Clara, CA 95054-1214
Phone (800) 478-8837
2581 Samaritan Dr
San Jose, CA 95124-4112
301 Industrial Rd
San Carlos, CA 94070-2603
Phone (415) 600-1000
370 Distel Cir
Los Altos, CA 94022-1404
Phone (650) 254-5200
701 E El Camino Real
Mountain View, CA 94040-2833
Phone (650) 691-6174
795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A62153 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| County of Santa Clara | Internal Medicine | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| El Camino Hospital | Past | Accepting new patients | |
| County of Santa Clara | Past | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Internal Medicine | Past | Accepting new patients |
Locations
20410 Town Center Ln
Ste F150
Cupertino, CA 95014
Phone (408) 523-3460
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
15400 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 523-3102
16130 Juan Hernandez Dr
Ste 108
Morgan Hill, CA 95037
Phone (408) 227-6300
701 E El Camino Real
Mountain View, CA 94040
Phone (650) 404-8370
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
795 El Camino Real
#1112
Palo Alto, CA 94301
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
2128 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 425-0727
325 N Mathilda Ave
Sunnyvale, CA 94085
Phone (408) 733-4380
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- thaichan.jobalia.1@14789.direct.athenahealth.com
- tjobalia33563@hisp.ehr.sutterhealth.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
dba Josefina Narvaez Mental Health Center MH Aoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
dba SCVMC Physician Services
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
Internal Medicine
-
dba Sutter Pacific Medical Foundation
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
Internal Medicine
-
dba Palo Alto Medical Foundation
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Orthopaedic Surgery Physician
- San Ramon, CA
- NPI 1467329904
-
dba Las Plumas Mental Health Services MH Cyf
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1437269917
-
dba El Camino Health
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hayward, CA
- NPI 1144592916
-
dba El Camino Health
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- San Jose, CA
- NPI 1437103777
-
dba Sutter Care at Home
- Home Health Agency
- Saratoga, CA
- NPI 1558029876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1578526299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "408-523-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15400 LOS GATOS BLVD",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322502",
"telephone_number": "408-523-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOBALIA",
"first_name": "THAICHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A62153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A621530",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
- Ronald William Jimenez, MD
- Veronica Maureen Jimenez
- Guang Jin
- Joan Oloff D P M Inc (Los Gatos Foot and Ankle Center)
- Valerie Joaquin
- John C Whitney MD, a Medical Corporation
- John Cornelius Penner, MD (Kuros Medical, Inc)
- John Miles Au.D.
- John P Colman MD Inc
- John P Smith MD a Professional Corporation (National Avenue Medical Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.