Active NPI
Rodolfo Antonio Morales, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Campbell, CA
National Provider Identifier
1831135656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- C38251
- Practice address
- 3803 S Bascom Ave
Ste 102
Campbell, CA 95008-7319 - Phone
- (408) 559-1018
- Fax
- (408) 371-3025
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | C38251 | CA | Primary |
Addresses
Primary practice location
3803 S Bascom Ave
Ste 102
Campbell, CA 95008-7319
Mailing address
3803 S Bascom Ave
Ste 102
Campbell, CA 95008-7319
Phone (408) 559-1018
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC382510 | Other | HMO | |
| EC382570 | Other | CHAMPUS | |
| 00C382510 | Medicaid | CA | |
| OOG48808 | Other | MEDI CAL | |
| PC382510 | Other | PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Jose Cardiac Surgery GRP | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Rodolfo a Morales M D a Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Campbell, CA
- NPI 1124326830
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Los Gatos, CA
- NPI 1477503381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831135656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3803 S BASCOM AVE",
"address_2": "STE 102",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950087319",
"telephone_number": "408-559-1018",
"fax_number": "408-371-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3803 S BASCOM AVE",
"address_2": "STE 102",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950087319",
"telephone_number": "408-559-1018",
"fax_number": "408-371-3025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "RODOLFO",
"middle_name": "ANTONIO",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "C38251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO",
"identifier": "HC382510",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "EC382570",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C382510",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL",
"identifier": "OOG48808",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPO",
"identifier": "PC382510",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.