San Jose Womens Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G082332 Issued in CA

Legal business name

SAN JOSE WOMENS MEDICAL GROUP INC

Practice address

2504 Samaritan Dr
Ste 20
San Jose, CA 95124-4005

Phone

(408) 358-1804

Fax

(408) 358-1807

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Elizabeth Fay Shu Wu, M.D.

Title

Owner

Phone

(408) 358-1804

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1598703233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 SAMARITAN DR",
            "address_2": "STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244005",
            "telephone_number": "408-358-1804",
            "fax_number": "408-358-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 SAMARITAN DR",
            "address_2": "STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244005",
            "telephone_number": "408-358-1804",
            "fax_number": "408-358-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE WOMENS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "FAY SHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-358-1804",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G082332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Jose Sports Medicine & Orthopedics
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• San Jose Usd
• San Jose/Evergreen Community College District
• Carlos Manuel Angeles San Mateo, MD
• Kristina Cassandra San Miguel
• Tony San Miguel
• Juancho Miguel San Pedro

• 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 Apr 26, 2012; 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.