Individual provider Active NPI

Rodolfo Antonio Morales, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Campbell, CA
National Provider Identifier
1831135656
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
C38251 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HC382510OtherHMO
EC382570OtherCHAMPUS
00C382510MedicaidCA
OOG48808OtherMEDI CAL
PC382510OtherPPO

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

OrganizationSpecialtyStatusNew patients
San Jose Cardiac Surgery GRP Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Apr 30, 2003 Accepting new patients
Rodolfo a Morales M D a Professional Corporation Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Mar 5, 2011 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.

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.

Verify at the official NPI Registry.