Individual provider Active NPI

Tae Wook Noh, MD

  • Obstetrics & Gynecology Physician
  • Santa Clara, CA
National Provider Identifier
1851315667
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A48314 Issued in CA
Practice address
4585 Stevens Creek Blvd Ste 110
Santa Clara, CA 95051-6769
Phone
(408) 998-8412
Fax
(408) 520-4575
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A48314 CA Primary

Addresses

Primary practice location

4585 Stevens Creek Blvd Ste 110
Santa Clara, CA 95051-6769

Mailing address

4585 Stevens Creek Blvd Ste 110
Santa Clara, CA 95051-6769
Phone (408) 998-8412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220001180 CA Practitioner - Obstetrics/Gynecology 8123216983 Reassigns benefits to 4 organizations
Practice locations: Santa Clara, CA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4585 Stevens Creek Blvd
Santa Clara, CA 95051-6769
Phone (408) 998-8412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A48314CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Dec 15, 2018 Accepting new patients
County of Santa Clara CurrentSince Dec 15, 2018 Accepting new patients
County of Santa Clara CurrentSince Dec 15, 2018 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Dec 15, 2018 Accepting new patients
County of Santa Clara Obstetrics & Gynecology Current Accepting new patients
Obstetrix Medical Group of California, a Professional Corporation Obstetrics & Gynecology CurrentSince Jun 11, 2023 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
O'Connor Hospital Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
El Camino Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

File 50978
Los Angeles, CA 90074

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

2101 Forest Ave
Ste 102
San Jose, CA 95128
Phone (408) 642-5442

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

4585 Stevens Creek Blvd
Ste 110
Santa Clara, CA 95051
Phone (408) 202-2063

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tnoh108181@santaclaravalley.direct-ci.net

Organizations & group practices 12

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1851315667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 STEVENS CREEK BLVD STE 110",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516769",
            "telephone_number": "408-998-8412",
            "fax_number": "408-520-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 STEVENS CREEK BLVD STE 110",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516769",
            "telephone_number": "408-998-8412",
            "fax_number": "408-520-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOH",
        "first_name": "TAE",
        "middle_name": "WOOK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A48314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.