Organization Active NPI

Bradley Y Tsutsui DDS Inc

  • Dental Clinic/Center
  • San Jose, CA
National Provider Identifier
1821611971
Registry record updated May 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BRADLEY Y TSUTSUI DDS INC
Practice address
5595 Winfield Blvd Ste 102
San Jose, CA 95123-1220
Phone
(408) 224-5200
NPI assigned
May 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2020

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

Authorized official

Name
Dr. Bradley Y Tsutsui, DDSNPI 1093865172
Title
Authorized Official
Phone
(559) 287-0012

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

5595 Winfield Blvd Ste 102
San Jose, CA 95123-1220

Mailing address

5595 Winfield Blvd Ste 102
San Jose, CA 95123-1220

National Provider Directory

National Provider Directory

Locations

5595 Winfield Blvd
Ste 102
San Jose, CA 95123
Phone (408) 224-5200

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1590278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590278400000",
    "number": "1821611971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 WINFIELD BLVD STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 WINFIELD BLVD STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231220",
            "telephone_number": "408-224-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY Y TSUTSUI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-24",
        "last_updated": "2020-05-24",
        "certification_date": "2020-05-24",
        "status": "A",
        "authorized_official_last_name": "TSUTSUI",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "559-287-0012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 24, 2020; 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.