Hospital San Jose Sa

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

HOSPITAL SAN JOSE SA

Practice address

600 Metros Al Este del Centro Comercial Multiplaza
Autopista Prospero Fernandez
San Jose, SAN RAFAEL 10201
CR

Phone

(855) 782-6253

NPI assigned

Sep 10, 2021

Organization subpart

No

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

Authorized official

Name

Mr. David Leslie MairNPI 1043551518

Title

Senior Vice President

Phone

(469) 731-1767

Specialties & licenses 5

Addresses

Locations

Practitioners 1

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

• David Mair, MSC

  • Case Manager/Care Coordinator
  • Frisco, TX
  • NPI 1043551518
  NPD Authorized official

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1942979182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 DALLAS PKWY",
            "address_2": "SUITE 350",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "469-731-1767"
        },
        {
            "country_code": "CR",
            "country_name": "Costa Rica",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "600 METROS AL ESTE DEL CENTRO COMERCIAL MULTIPLAZA",
            "address_2": "AUTOPISTA PROSPERO FERNANDEZ",
            "city": "SAN JOSE",
            "state": "SAN RAFAEL",
            "postal_code": "10201",
            "telephone_number": "855-782-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL SAN JOSE SA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "MAIR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "469-731-1767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.