Active NPI
Allan Macdonald Wright, M.D.
- Diagnostic Radiology Physician
- San Jose, CA
National Provider Identifier
1902815483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G53096
- Practice address
- 2410 Samaritan Dr
Suite 102
San Jose, CA 95124-3909 - Phone
- (408) 371-0728
- Fax
- (408) 371-1164
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G53096 | CA | Primary |
Addresses
Primary practice location
2410 Samaritan Dr
Suite 102
San Jose, CA 95124-3909
Mailing address
2410 Samaritan Dr
Suite 101
San Jose, CA 95124-3909
Phone (408) 371-0390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G530960 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53096 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1902815483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 SAMARITAN DR",
"address_2": "SUITE 101",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243909",
"telephone_number": "408-371-0390",
"fax_number": "408-371-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 SAMARITAN DR",
"address_2": "SUITE 102",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243909",
"telephone_number": "408-371-0728",
"fax_number": "408-371-1164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "ALLAN",
"middle_name": "MACDONALD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G53096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G530960",
"state": "CA"
}
],
"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 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.