John Donald Noonan, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G24811 Issued in CA

Practice address

751 S Bascom Ave
Diagnostic Imaging Dept
San Jose, CA 95128

Phone

(408) 885-6370

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659466068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19651 GLEN UNA DR",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "95070",
            "telephone_number": "408-354-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE",
            "address_2": "DIAGNOSTIC IMAGING DEPT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-885-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "JOHN",
        "middle_name": "DONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G24811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G248110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nong Group
• Votha H Nong, D.C.
• Ian Luke Nool
• Ellen Noon
• Lisa Lauren Noon
• Krista Noone, RBT
• Noor Sachdev
• Souzan Noorbakhsh
• Nasrin Noori, RN
• Suchada Nopachai, MD

• Diagnostic Radiology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.