Organization Active NPI

South Bay Housecall Doctor Inc

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1649618737
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8549 Issued in CA
Legal business name
SOUTH BAY HOUSECALL DOCTOR INC
Practice address
3640 Sweigert Rd
San Jose, CA 95132-2448
Phone
(408) 835-9977
Fax
(800) 818-0931
NPI assigned
Jun 11, 2013
Last updated
Feb 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Authorized official

Name
Vincent Le, D.O.NPI 1760485171
Title
Physician
Phone
(408) 835-9977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A8549 CA Primary

Addresses

Primary practice location

3640 Sweigert Rd
San Jose, CA 95132-2448

Mailing address

3640 Sweigert Rd
San Jose, CA 95132-2448
Phone (408) 835-9977

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1649618737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 SWEIGERT RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322448",
            "telephone_number": "408-835-9977",
            "fax_number": "800-818-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 SWEIGERT RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322448",
            "telephone_number": "408-835-9977",
            "fax_number": "800-818-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY HOUSECALL DOCTOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "408-835-9977",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8549",
            "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 Feb 20, 2014; 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.