California Home Doc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A97753 Issued in CA

Legal business name

CALIFORNIA HOME DOC

Doing business as

california home doc

Practice address

4030 Moorpark Ave
Suite 251
San Jose, CA 95117-4103

Phone

(408) 596-6278

NPI assigned

Oct 20, 2014

Last updated

Oct 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Abdelsalam M Mogasbe, MDNPI 1891868550

Title

Doctor

Phone

(408) 596-6278

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• california home doc Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abdelsalam Mogasbe, M.D

  • General Practice Physician
  • San Jose, CA
  • NPI 1891868550
  Authorized official Same address or phone

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1710381702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 MOORPARK AVE",
            "address_2": "SUITE 251",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951174103",
            "telephone_number": "408-596-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 MOORPARK AVE",
            "address_2": "SUITE 251",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951174103",
            "telephone_number": "408-596-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA HOME DOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "MOGASBE",
        "authorized_official_first_name": "ABDELSALAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "408-596-6278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A97753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONAMY",
            "identifier": "193400000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "california home doc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• California Emergency Physicians
• California Emergency Physicians Medical Group a Professional Corp
• California Emergency Physicians Medical Group, a Professional Corp
• California Endurance & Sports Physical Therapy
• California Guardians (Homewatch Caregivers of West San Jose)
• California Integrated Dentistry
• California Ipa Inc
• California Mental Health LLC
• California Neuroinstitute Inc
• California Spine and Neurosurgery Institute (San Jose Neurospine)

• Specialist in San Jose, CA
• Providers in San Jose, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.