South Valley Surgical Associates

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SOUTH VALLEY SURGICAL ASSOCIATES

Practice address

312 Viscaino Way
San Jose, CA 95119-1630

Phone

(408) 440-2359

Fax

(408) 677-4941

NPI assigned

Jun 3, 2011

Organization subpart

No

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

Authorized official

Name

Jennah Huong Thi Le

Title

Account Director

Phone

(408) 440-2359

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1801180104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 TULLY RD STE A2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224237",
            "telephone_number": "408-440-2359",
            "fax_number": "408-677-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 VISCAINO WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191630",
            "telephone_number": "408-440-2359",
            "fax_number": "408-677-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "JENNAH HUONG",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "ACCOUNT DIRECTOR",
        "authorized_official_telephone_number": "408-440-2359"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clayton Edward Soward, CADC II
• Soysal DDS Inc

• Surgical Physician Assistant in San Jose, CA
• Providers in San Jose, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.