Individual provider Active NPI

Anuja A Mody, NP

  • Family Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1841884020
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016386 Issued in CA
Practice address
455 Silicon Valley Blvd
San Jose, CA 95138-1858
Phone
(408) 819-7310
NPI assigned
Feb 27, 2021
Last updated
Feb 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95016386 CA Primary

Addresses

Primary practice location

455 Silicon Valley Blvd
San Jose, CA 95138-1858

Mailing address

1093 Rock Ave
San Jose, CA 95131-1604
Phone (408) 382-1332

Other practice location 1

39001 Sundale Dr
Fremont, CA 94538-2005
Phone (510) 796-1100

Other practice location 2

1739 Colorado Ave
Turlock, CA 95382-2714
Phone (209) 448-3000

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95016386CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1841884020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 ROCK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311604",
            "telephone_number": "408-382-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SILICON VALLEY BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381858",
            "telephone_number": "408-819-7310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39001 Sundale Dr",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945382005",
            "country_code": "US",
            "telephone_number": "510-796-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1739 Colorado Ave",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953822714",
            "country_code": "US",
            "telephone_number": "209-448-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODY",
        "first_name": "ANUJA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016386",
            "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 27, 2021; 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.