Active NPI
Nuclear Medicine Imaging of San Jose, Inc
- Nuclear Medicine Physician
- San Jose, CA
National Provider Identifier
1811179062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- A79514
- Legal business name
- NUCLEAR MEDICINE IMAGING OF SAN JOSE, INC
- Practice address
- 333 Santana Row Apt 223
San Jose, CA 95128-2007 - Phone
- (415) 595-8687
- NPI assigned
- Nov 29, 2007
- Last updated
- Jun 23, 2023
- 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
- Dr. Puneet Chandak, M.D.
- Title
- President / Ceo
- Phone
- (415) 595-8687
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 |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | A79514 | CA | Primary |
Addresses
Primary practice location
333 Santana Row Apt 223
San Jose, CA 95128-2007
Mailing address
39120 Argonaut Way Ste 827
Fremont, CA 94538-1304
Phone (510) 792-9700
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Nuclear Medicine Physician
- Fremont, CA
- NPI 1043276900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687478400000",
"number": "1811179062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39120 ARGONAUT WAY STE 827",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381304",
"telephone_number": "510-792-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SANTANA ROW APT 223",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282007",
"telephone_number": "415-595-8687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUCLEAR MEDICINE IMAGING OF SAN JOSE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-29",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A",
"authorized_official_last_name": "CHANDAK",
"authorized_official_first_name": "PUNEET",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "415-595-8687",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "CA",
"license": "A79514",
"primary": true
}
],
"identifiers": [],
"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 Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.