NPIMap

Individual provider Active NPI

Joselito C Cabaccan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • San Jose, CA
National Provider Identifier
1801813720
Registry record updated Nov 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A78885 Issued in CA
Practice address
2690 S White Rd Ste 50
San Jose, CA 95148-2075
Phone
(408) 223-7000
Fax
(408) 223-7001
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A78885 CA Primary

Addresses

Primary practice location

2690 S White Rd Ste 50
San Jose, CA 95148-2075

Mailing address

2690 S White Rd
Suite 50
San Jose, CA 95148-2076
Phone (408) 223-7000

Other identifiers 1

IdentifierTypeStateIssuer
110008961OtherCARRW MEDICARE GRP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914001303 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 4183691546 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Virginia School of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2690 S White Rd
Suite 50
San Jose, CA 95148-2075
Phone (408) 223-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
39.35 of 100Reported as individual
Quality
26.67
Improvement activities
0
Cost
74.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
78885CAMDMarriage & Family Therapist
A78885CAMDEndocrinology, Diabetes & Metabolism Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jcabaccan204649@santaclaravalley.direct-ci.net

Practitioners & affiliated clinicians

Practitioners 1

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699660800000",
    "number": "1801813720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 S WHITE RD",
            "address_2": "SUITE 50",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482076",
            "telephone_number": "408-223-7000",
            "fax_number": "408-223-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 S WHITE RD STE 50",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482075",
            "telephone_number": "408-223-7000",
            "fax_number": "408-223-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABACCAN",
        "first_name": "JOSELITO",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-11-11",
        "certification_date": "2023-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A78885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRW MEDICARE GRP",
            "identifier": "110008961",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.