Organization Active NPI

Emil a Anaya MD, Inc. a Medical Corporation

  • Vascular Surgery Physician
  • San Jose, CA
National Provider Identifier
1871627463
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A25810 Issued in CA
Legal business name
EMIL A ANAYA MD, INC. A MEDICAL CORPORATION
Practice address
105 N Bascom Ave
Suite 104
San Jose, CA 95128-1811
Phone
(408) 258-8760
Fax
(408) 258-8760
NPI assigned
Mar 15, 2007
Last updated
Sep 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Authorized official

Name
Dr. Emil Alberto Anaya, M.D.
Title
President Owner
Phone
(408) 258-8760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A25810 CA Primary

Addresses

Primary practice location

105 N Bascom Ave
Suite 104
San Jose, CA 95128-1811

Mailing address

PO Box 3133
San Jose, CA 95156-3133
Phone (408) 258-8760

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ06033ZOtherCAGROUP PTAN
1811994445OtherINDIVIDUAL NPI
A25810OtherCACALIFORNIA MEDICAL LICENS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1871627463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3133",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951563133",
            "telephone_number": "408-258-8760",
            "fax_number": "408-258-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N BASCOM AVE",
            "address_2": "SUITE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281811",
            "telephone_number": "408-258-8760",
            "fax_number": "408-258-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMIL A ANAYA MD, INC. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "ANAYA",
        "authorized_official_first_name": "EMIL",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "408-258-8760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A25810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "ZZZ06033Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1811994445",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENS",
            "identifier": "A25810",
            "state": "CA"
        }
    ],
    "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 Sep 18, 2009; 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.