Active NPI
First Visit Medical Services of California PC
- Primary Care Clinic/Center
- San Jose, CA
National Provider Identifier
1912736729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- FIRST VISIT MEDICAL SERVICES OF CALIFORNIA PC
- Practice address
- 6203 San Ignacio Ave
#110
San Jose, CA 95119 - Phone
- (415) 349-3995
- Fax
- (415) 349-3995
- NPI assigned
- Jul 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd Peterson
- Title
- Office Manager
- Phone
- (630) 822-8244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
6203 San Ignacio Ave
#110
San Jose, CA 95119
Mailing address
2261 Market St Ste 10677
San Francisco, CA 94114-1612
Phone (415) 349-3995
Other names 1
- West Coast Medical Solutions PC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722297600000",
"number": "1912736729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2261 MARKET ST STE 10677",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141612",
"telephone_number": "415-349-3995",
"fax_number": "415-349-3995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6203 SAN IGNACIO AVE",
"address_2": "#110",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95119",
"telephone_number": "415-349-3995",
"fax_number": "415-349-3995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST VISIT MEDICAL SERVICES OF CALIFORNIA PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-22",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "630-822-8244"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "West Coast Medical Solutions PC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.