Organization Active NPI

Amir Kaykha MD Inc

  • Interventional Cardiology Physician
  • San Jose, CA
National Provider Identifier
1881973626
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
AMIR KAYKHA MD INC
Practice address
2505 Samaritan Dr Ste 401
San Jose, CA 95124-4013
Phone
(408) 292-7777
Fax
(408) 300-9249
NPI assigned
Aug 10, 2011
Last updated
Oct 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Amir Kaykha, M.D.NPI 1639375959
Title
Owner / President
Phone
(408) 292-7777

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
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

2505 Samaritan Dr Ste 401
San Jose, CA 95124-4013

Mailing address

5339 Prospect Rd # 286
San Jose, CA 95129-5033
Phone (408) 292-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111018000218 CA Part B Supplier - Clinic/Group Practice 6305018300 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

15466 Los Gatos Blvd
Ste 109131
Los Gatos, CA 95032

105 N Bascom Ave
Ste 204
San Jose, CA 95128
Phone (408) 294-7725

2504 Samaritan Dr
Ste 10
San Jose, CA 95124
Phone (408) 216-8763

2505 Samaritan Dr
Ste 401
San Jose, CA 95124
Phone (408) 292-7777

5339 Prospect Rd
#286
San Jose, CA 95129

5339 Prospect Rd
Ste 286
San Jose, CA 95129

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGICBD

Practitioners & affiliated clinicians

Practitioners 1

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": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1881973626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5339 PROSPECT RD # 286",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295033",
            "telephone_number": "408-292-7777",
            "fax_number": "408-300-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR STE 401",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244013",
            "telephone_number": "408-292-7777",
            "fax_number": "408-300-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR KAYKHA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "KAYKHA",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "408-292-7777",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "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 Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.