Organization Active NPI

Dr. Rosalinda a. Mandreza, Inc

  • Community Health Clinic/Center
  • San Jose, CA
National Provider Identifier
1871848523
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
C043151 Issued in CA
Legal business name
DR. ROSALINDA A. MANDREZA, INC
Practice address
2593 S King Rd
Ste 11
San Jose, CA 95122-1880
Phone
(408) 274-2880
NPI assigned
Jul 18, 2012
Organization subpart
Yes
Parent organization
DR. ROSALINDA A. MANDREZA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Dr. Rosalinda A. Mandreza, MDNPI 1336197185
Title
Owner
Phone
(408) 274-2880

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
Community Health Clinic/Center 261QC1500X C043151 CA Primary

Addresses

Primary practice location

2593 S King Rd
Ste 11
San Jose, CA 95122-1880

Mailing address

2593 S King Rd
Ste 11
San Jose, CA 95122-1880
Phone (408) 274-2880

National Provider Directory

National Provider Directory
Part of
Rosalinda a Mandreza Inc

Locations

2593 S King Rd
Ste 11
San Jose, CA 95122
Phone (408) 274-2880

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": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1871848523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2593 S KING RD",
            "address_2": "STE 11",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221880",
            "telephone_number": "408-274-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2593 S KING RD",
            "address_2": "STE 11",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221880",
            "telephone_number": "408-274-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROSALINDA A. MANDREZA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. ROSALINDA A. MANDREZA, INC",
        "enumeration_date": "2012-07-18",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "MANDREZA",
        "authorized_official_first_name": "ROSALINDA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-274-2880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "C043151",
            "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 Jul 8, 2015; 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.