Organization Active NPI

John P Owens MD Inc

Doing business as Pediatric Cardiology Associates

  • Pediatric Cardiology Physician
  • San Jose, CA
National Provider Identifier
1639392806
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A95299 Issued in CA
Legal business name
JOHN P OWENS MD INC
Doing business as
Pediatric Cardiology Associates
Practice address
1688 Willow St
Suite C
San Jose, CA 95125-5109
Phone
(408) 448-2817
Fax
(408) 448-4807
NPI assigned
Apr 10, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
JOHN P OWENS MD. INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Michael P Tran, MDNPI 1376562173
Title
Officer
Phone
(408) 448-2817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X A95299 CA Primary

Addresses

Primary practice location

1688 Willow St
Suite C
San Jose, CA 95125-5109

Mailing address

1688 Willow St
Suite C
San Jose, CA 95125-5109
Phone (408) 448-2817

Other identifiers 1

IdentifierTypeStateIssuer
1639392806MedicaidCA

Other names 1

  • Pediatric Cardiology Associates Doing business as

National Provider Directory

National Provider Directory
Part of
John P Owens MD Inc

Locations

264 San Jose St
Ste C
Salinas, CA 93901
Phone (831) 757-7722

1688 Willow St
Ste C
San Jose, CA 95125
Phone (408) 356-1364

541 Frederick St
Santa Cruz, CA 95062
Phone (831) 426-5050

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1639392806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 WILLOW ST",
            "address_2": "SUITE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255109",
            "telephone_number": "408-448-2817",
            "fax_number": "408-448-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 WILLOW ST",
            "address_2": "SUITE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255109",
            "telephone_number": "408-448-2817",
            "fax_number": "408-448-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P OWENS MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN P OWENS MD. INC",
        "enumeration_date": "2007-04-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "408-448-2817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A95299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639392806",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Cardiology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 7, 2023; 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.