NPIMap

Organization Active NPI

Family Medicine Associates of San Jose Inc

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1932268109
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE ASSOCIATES OF SAN JOSE INC
Practice address
455 Oconnor Dr Ste 210
San Jose, CA 95128-1632
Phone
(408) 995-5453
Fax
(408) 275-9442
NPI assigned
Dec 6, 2006
Last updated
Sep 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Dr. Michelle Maxey, M.D.NPI 1316023005
Title
Medical Director
Phone
(408) 995-5453

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

455 Oconnor Dr Ste 210
San Jose, CA 95128-1632

Mailing address

455 Oconnor Dr Ste 210
San Jose, CA 95128-1632
Phone (408) 995-5453

National Provider Directory

National Provider Directory

Locations

50 E Hamilton Ave
Ste 120
Campbell, CA 95008
Phone (408) 357-1410

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1932268109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR STE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281632",
            "telephone_number": "408-995-5453",
            "fax_number": "408-275-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR STE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281632",
            "telephone_number": "408-995-5453",
            "fax_number": "408-275-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES OF SAN JOSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "MAXEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "408-995-5453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 11, 2008; 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.