Individual provider Active NPI

Harry John Cornbleet, M.D.

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1639203755
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G29058 Issued in CA
Practice address
San Jose State University Student Health Ctr
1 Washington SQ
San Jose, CA 95192-0037
Phone
(408) 924-6124
Fax
(408) 924-7786
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G29058 CA Primary

Addresses

Primary practice location

San Jose State University Student Health Ctr
1 Washington SQ
San Jose, CA 95192-0037

Mailing address

San Jose State University Student Health Ctr
1 Washington SQ
San Jose, CA 95192-0037
Phone (408) 924-6124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G29058CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Jose State University Student Health Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1639203755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN JOSE STATE UNIVERSITY STUDENT HEALTH CTR",
            "address_2": "1 WASHINGTON SQ",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951920037",
            "telephone_number": "408-924-6124",
            "fax_number": "408-924-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JOSE STATE UNIVERSITY STUDENT HEALTH CTR",
            "address_2": "1 WASHINGTON SQ",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951920037",
            "telephone_number": "408-924-6124",
            "fax_number": "408-924-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNBLEET",
        "first_name": "HARRY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G29058",
            "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 May 29, 2008; 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.