Organization Active NPI

Bridge Medical Consultants Inc

  • Neurology Physician
  • San Jose, CA
National Provider Identifier
1700276177
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A133381 Issued in CA
Legal business name
BRIDGE MEDICAL CONSULTANTS INC
Practice address
175 N Jackson Ave Ste 202
San Jose, CA 95116-1909
Phone
(669) 235-4188
Fax
(669) 235-4221
NPI assigned
Jan 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Said M Ibrahimi, MDNPI 1376751321
Title
President
Phone
(669) 235-4188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X A133381 CA Primary

Addresses

Primary practice location

175 N Jackson Ave Ste 202
San Jose, CA 95116-1909

Mailing address

4847 Hopyard Rd
Suite 4 Box 387
Pleasanton, CA 94588-3360

Other practice location 1

27171 Calaroga Ave
Hayward, CA 94545-4344
Phone (669) 235-4188

Other practice location 2

3155 Kearney St Ste 100
Fremont, CA 94538-2268
Phone (669) 235-4188

Other practice location 3

1081 Market Pl Ste 500
San Ramon, CA 94583-4750
Phone (669) 235-4188

Other practice location 4

555 University Ave Ste 230
Sacramento, CA 95825-6505
Phone (669) 235-4188

Other identifiers 1

IdentifierTypeStateIssuer
1700276177MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150505001847 CA Part B Supplier - Clinic/Group Practice 8224357728 Receives reassigned benefits from 4 practitioners
Practice locations: Foster City, CA; San Ramon, CA; San Jose, CA; Fremont, CA; Hayward, CA

National Provider Directory

National Provider Directory

Locations

39899 Balentine Dr
Ste 350
Newark, CA 94560

4847 Hopyard Rd
Ste 4387
Pleasanton, CA 94588

4847 Hopyard Rd
Ste 4
Pleasanton, CA 94588

4847 Hopyard Rd
#4387
Pleasanton, CA 94588

175 N Jackson Ave
Ste 202
San Jose, CA 95116
Phone (669) 235-4188

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1700276177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4847 HOPYARD RD",
            "address_2": "SUITE 4 BOX 387",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE STE 202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909",
            "telephone_number": "669-235-4188",
            "fax_number": "669-235-4221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27171 Calaroga Ave",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945454344",
            "country_code": "US",
            "telephone_number": "669-235-4188",
            "fax_number": "669-235-4221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3155 Kearney St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945382268",
            "country_code": "US",
            "telephone_number": "669-235-4188",
            "fax_number": "669-235-4221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1081 Market Pl Ste 500",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945834750",
            "country_code": "US",
            "telephone_number": "669-235-4188",
            "fax_number": "669-235-4221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 University Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958256505",
            "country_code": "US",
            "telephone_number": "669-235-4188",
            "fax_number": "669-235-4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIDGE MEDICAL CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "IBRAHIMI",
        "authorized_official_first_name": "SAID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "669-235-4188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A133381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700276177",
            "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 Oct 7, 2024; 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.