Active NPI
Bridge Medical Consultants Inc
- Neurology Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A133381
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Said M Ibrahimi, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700276177 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurology Physician
- San Jose, CA
- NPI 1376751321
-
- Medical Physician Assistant
- San Ramon, CA
- NPI 1275280224
-
- Medical Physician Assistant
- San Ramon, CA
- NPI 1528758018
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.