Organization Active NPI

Ariba Healthcare Group Inc.

  • Exclusive Provider Organization
  • San Jose, CA
National Provider Identifier
1841614963
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
A84987 Issued in CA
Legal business name
ARIBA HEALTHCARE GROUP INC.
Practice address
696 E Santa Clara St
Suite 202
San Jose, CA 95112-1911
Phone
(408) 292-9404
Fax
(408) 292-9476
NPI assigned
Feb 10, 2014
Last updated
Feb 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Authorized official

Name
Tariq Mirza, MDNPI 1639195654
Title
Owner
Phone
(510) 754-0729

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)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X A84987 CA Primary

Addresses

Primary practice location

696 E Santa Clara St
Suite 202
San Jose, CA 95112-1911

Mailing address

37553 Fremont Blvd
Fremont, CA 94536-3706
Phone (510) 797-1051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140211001325 CA Part B Supplier - Clinic/Group Practice 6305075516 Receives reassigned benefits from 1 practitioner
Practice locations: Fremont, CA; Oakland, CA

National Provider Directory

National Provider Directory

Locations

2700 International Blvd
Ste 10
Oakland, CA 94601
Phone (510) 378-3715

8105 Edgewater Dr
Ste 10
Oakland, CA 94621

696 E Santa Clara St
Ste 202
San Jose, CA 95112
Phone (408) 292-9404

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1841614963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37553 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363706",
            "telephone_number": "510-797-1051",
            "fax_number": "510-797-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 E SANTA CLARA ST",
            "address_2": "SUITE 202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121911",
            "telephone_number": "408-292-9404",
            "fax_number": "408-292-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIBA HEALTHCARE GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-754-0729",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "A84987",
            "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 Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.