Organization Active NPI

San Jose Gastroenterology

  • Specialist
  • San Jose, CA
National Provider Identifier
1598715070
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SAN JOSE GASTROENTEROLOGY
Practice address
2340 Montpelier Dr
San Jose, CA 95116-1622
Phone
(408) 213-0063
NPI assigned
May 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Yen Luu Nguyen
Title
Biller
Phone
(408) 213-0063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2340 Montpelier Dr
San Jose, CA 95116-1622

Mailing address

2340 Montpelier Dr
San Jose, CA 95116-1622
Phone (408) 213-0063

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598715070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 MONTPELIER DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161622",
            "telephone_number": "408-213-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 MONTPELIER DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161622",
            "telephone_number": "408-213-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "YEN",
        "authorized_official_middle_name": "LUU",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "408-213-0063",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "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 22, 2020; 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.