Active NPI
San Jose Mothers' Milk Bank
- Durable Medical Equipment & Medical Supplies
- San Jose, CA
National Provider Identifier
1699068403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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 BANK
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MMB000020 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- San Jose Mothers' Milk Bank
- 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.
-
- Specialist
- San Jose, CA
- NPI 1033270582
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.
-
- Specialist
- San Jose, CA
- NPI 1033270582
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
- San Jose Imaging Center
- San Jose Medical Clinic, Inc.
- San Jose Medical Management, Inc.
- San Jose Medical Supply Co Inc
- San Jose Mothers' Milk Bank
- San Jose Nephrology Medical Practice
- San Jose Orthopedic Associates Medical Corporation
- San Jose Pacific Neurology CNTR Prof Cor
- San Jose Physical Therapy Incorporated
- San Jose Pulmonary Associates
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.