Individual provider Active NPI

Norris Hollie Sr., M.D.

  • Ambulatory Family Planning Facility
  • San Jose, CA
National Provider Identifier
1932155298
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
A38157 Issued in CA
Practice address
3315 Almaden Expy Ste 20
San Jose, CA 95118-1557
Phone
(408) 264-6644
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A38157 CA
Ambulatory Family Planning Facility 261QA0005X A38157 CA Primary

Addresses

Primary practice location

3315 Almaden Expy Ste 20
San Jose, CA 95118-1557

Mailing address

3315 Almaden Expy Ste 20
San Jose, CA 95118-1557
Phone (408) 264-6644

Other identifiers 1

IdentifierTypeStateIssuer
A38157OtherCAMEDICAL LICENSE

Other names 1

  • Dr. Norris Hollie Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38157CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced DME LLC CurrentSince Apr 20, 2021 Accepting new patients
Primary Care Family Medical Clinic Inc. PastSince Dec 1, 2005 Accepting new patients

Locations

3315 Almaden Expy
Ste 20
San Jose, CA 95118
Phone (408) 264-6644

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1932155298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 ALMADEN EXPY STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951181557",
            "telephone_number": "408-264-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 ALMADEN EXPY STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951181557",
            "telephone_number": "408-264-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIE",
        "first_name": "NORRIS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A38157",
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "CA",
            "license": "A38157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A38157",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORRIS",
            "last_name": "HOLLIE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.