Telefamilydoc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

TELEFAMILYDOC

Practice address

15195 National Ave Ste 205
Los Gatos, CA 95032-2631

Phone

(408) 345-5494

Fax

(623) 666-6760

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Alex Mirabadi, MDNPI 1396037545

Title

Ceo

Phone

(408) 354-6760

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alex A Mirabadi, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • San Jose, CA
  • NPI 1396037545
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1699559781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 N SANTA CRUZ AVE STE 130",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305300",
            "telephone_number": "408-345-5494",
            "fax_number": "623-666-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15195 NATIONAL AVE STE 205",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322631",
            "telephone_number": "408-345-5494",
            "fax_number": "623-666-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEFAMILYDOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "MIRABADI",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-354-6760",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaghig Tchaparian, PA-C
• Linda A Teagle, M.D.
• Meron Tedla, RPH
• Teen Therapy Center, a Professional Licensed Clinical Social Worker Co (Teen Therapy Center)
• Tatyana Marie Teeuwisse, LAC
• Adriana Temores
• Annie Thach
• Aparna Sanjeev Thakur
• The Brown Therapy Group
• Therapy in Your Home - OT, PT, St

• Geriatric Medicine (Family Medicine) Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.