Kent Imai, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C31704 Issued in CA

Practice address

751 S Bascom Ave
Internal Medicine
San Jose, CA 95128-2604

Phone

(408) 885-5924

NPI assigned

Apr 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1891758231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SOUTHWOOD DR",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950663635",
            "telephone_number": "831-438-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE",
            "address_2": "INTERNAL MEDICINE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282604",
            "telephone_number": "408-885-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAI",
        "first_name": "KENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C31704",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "C31704",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C317040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ilas, DDS
• Iva Sikirica Ilic, M.D.
• Amylin Illorde
• Ilya Sabsovich MD Inc a Medical Corporation
• Brittney Sau Lin Imada
• Nichole E Imamura-Sperling, LCSW
• Cecilia K Imamura, O.D.
• Keiko Marianne Imazumi-Tang, PT, MSPT, DPT
• Imelda P Nagtalon DDS., Corp.
• Eric Michael Masao Imoto, D.O.

• Internal Medicine Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.