Organization Active NPI

San Jose Ear and Sinus Medical Center Inc

  • Otology & Neurotology Physician
  • Los Gatos, CA
National Provider Identifier
1942497763
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
Legal business name
SAN JOSE EAR AND SINUS MEDICAL CENTER INC
Practice address
14981 National Ave Ste 5
Los Gatos, CA 95032-2600
Phone
(408) 358-8507
Fax
(408) 358-8506
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Hamed SajjadiNPI 1336169259
Title
Ceo
Phone
(408) 358-8507

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
Otology & Neurotology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0901X Primary

Addresses

Primary practice location

14981 National Ave Ste 5
Los Gatos, CA 95032-2600

Mailing address

14981 National Ave Ste 5
Los Gatos, CA 95032-2600
Phone (408) 358-8507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050726001157 CA Part B Supplier - Clinic/Group Practice 5890722375 Receives reassigned benefits from 2 practitioners
Practice locations: Los Gatos, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1942497763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14981 NATIONAL AVE STE 5",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322600",
            "telephone_number": "408-358-8507",
            "fax_number": "408-358-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14981 NATIONAL AVE STE 5",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322600",
            "telephone_number": "408-358-8507",
            "fax_number": "408-358-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE EAR AND SINUS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "SAJJADI",
        "authorized_official_first_name": "HAMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-358-8507"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.