Organization Active NPI

South Bay House-Call Doctor

  • Geriatric Medicine (Family Medicine) Physician
  • San Jose, CA
National Provider Identifier
1881999217
Registry record updated Jan 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
20A8549 Issued in CA
Legal business name
SOUTH BAY HOUSE-CALL DOCTOR
Practice address
2683 Mignon Dr
San Jose, CA 95132-2118
Phone
(408) 835-9977
Fax
(800) 818-0931
NPI assigned
Jan 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2011

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

Authorized official

Name
Dr. Vincent Le, D.O.NPI 1760485171
Title
Physician
Phone
(408) 835-9977

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 20A8549 CA
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X 20A8549 CA Primary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X 20A8549 CA

Addresses

Primary practice location

2683 Mignon Dr
San Jose, CA 95132-2118

Mailing address

2683 Mignon Dr
San Jose, CA 95132-2118
Phone (408) 835-9977

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295136000000",
    "number": "1881999217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2683 MIGNON DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322118",
            "telephone_number": "408-835-9977",
            "fax_number": "800-818-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2683 MIGNON DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322118",
            "telephone_number": "408-835-9977",
            "fax_number": "800-818-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY HOUSE-CALL DOCTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-16",
        "last_updated": "2011-01-16",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "408-835-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8549",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "20A8549",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "20A8549",
            "primary": false
        }
    ],
    "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 Jan 16, 2011; 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.