O' Connor Family Medicine Residency Program

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

20A12161 Issued in CA

Legal business name

O' CONNOR FAMILY MEDICINE RESIDENCY PROGRAM

Practice address

455 Oconnor Dr
San Jose, CA 95128-1633

Phone

(408) 283-7676

NPI assigned

Mar 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert Norman, MD

Title

Medical Director

Phone

(408) 283-7676

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1871868562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 STORY CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951274331",
            "telephone_number": "408-458-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281633",
            "telephone_number": "408-283-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O' CONNOR FAMILY MEDICINE RESIDENCY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "408-283-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "20A12161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Denise Nyein
• Aleece Nyland
• Thandar Nyunt
• Chidi O Nnana
• Zoe O Sullivan
• Doris Jean O' Neal, LCSW
• Katherine O'Blennis Yvanovich, AMFT
• John Grant O'Brien, PHARMD
• Ronald L. O'Brien, D.D.S.
• Sara O'Brien

• Community Health Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.