Cancer and Blood Care of San Jose Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A100993 Issued in CA

Legal business name

CANCER AND BLOOD CARE OF SAN JOSE INC

Practice address

175 N Jackson Ave
Suite 209
San Jose, CA 95116-1909

Phone

(408) 520-7919

Fax

(408) 516-9985

NPI assigned

Mar 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Priya Gomathi Kumaravelu, MDNPI 1154514677

Title

President

Phone

(408) 520-7919

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Priya Gomathi Kumaravelu, MD

  • Medical Oncology Physician
  • San Jose, CA
  • NPI 1154514677
  NPD Authorized official
• Natasa Popovic, M.D.

  • Hospitalist Physician
  • Shenandoah, TX
  • NPI 1831225713
  NPD (past)

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1720448657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE",
            "address_2": "SUITE 209",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909",
            "telephone_number": "408-520-7919",
            "fax_number": "408-516-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N JACKSON AVE",
            "address_2": "SUITE 209",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161909",
            "telephone_number": "408-520-7919",
            "fax_number": "408-516-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER AND BLOOD CARE OF SAN JOSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "KUMARAVELU",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_middle_name": "GOMATHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-520-7919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A100993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Canales Jr
• Ritha Canales Rossi, LCSW
• Andrea Del Carmen Canales, M.S. CF-SLP
• Sabrina Marie Canales
• Sarai Canales
• Victoria Lynn Canchola
• Abril Cancino
• Catherine Ariel Canda
• Kimberley Avila Candeias
• Heddy Cecilia Candia

• Medical Specialty Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.