Organization Active NPI

San Jose Mothers' Milk Bank

  • Durable Medical Equipment & Medical Supplies
  • San Jose, CA
National Provider Identifier
1699068403
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SAN JOSE MOTHERS' MILK BANK
Practice address
1887 Monterey Hwy
Suite 110
San Jose, CA 95112-6117
Phone
(408) 998-4550
Fax
(408) 297-9208
NPI assigned
May 26, 2011
Organization subpart
Yes
Parent organization
SAN JOSE MOTHERS' MILK BANKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Ms. Pauline Sakamoto
Title
Executive Director
Phone
(408) 998-4550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1887 Monterey Hwy
Suite 110
San Jose, CA 95112-6117

Mailing address

1887 Monterey Hwy
Suite 110
San Jose, CA 95112-6117
Phone (408) 998-4550

Other identifiers 1

IdentifierTypeStateIssuer
MMB000020MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
San Jose Mothers' Milk Bank2 organizations share this tax ID, including this one
Part of
San Jose Mothers' Milk Bank

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1887 Monterey Hwy
Ste 110
San Jose, CA 95112
Phone (408) 998-4550

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.

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1699068403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 MONTEREY HWY",
            "address_2": "SUITE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126117",
            "telephone_number": "408-998-4550",
            "fax_number": "408-297-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 MONTEREY HWY",
            "address_2": "SUITE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126117",
            "telephone_number": "408-998-4550",
            "fax_number": "408-297-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE MOTHERS' MILK BANK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN JOSE MOTHERS' MILK BANK",
        "enumeration_date": "2011-05-26",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "SAKAMOTO",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "408-998-4550",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MMB000020",
            "state": "CA"
        }
    ],
    "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 Apr 24, 2017; 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.