Active NPI
Yaminali M Javid, MD
- Pediatrics Physician
- San Jose, CA
National Provider Identifier
1952465361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A046602
- Practice address
- 125 N Jackson Ave
#206
San Jose, CA 95116 - Phone
- (408) 251-6748
- Fax
- (408) 251-2116
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A046602 | CA | Primary |
Addresses
Primary practice location
125 N Jackson Ave
#206
San Jose, CA 95116
Mailing address
125 N Jackson Ave
Suite #206
San Jose, CA 95116
Phone (408) 251-6748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A046602 | Medicaid | CA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
200 Jose Figueres Ave
Suite 320
San Jose, CA 95116-1500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A046602 | CA | MD | Pediatrics Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952465361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 N JACKSON AVE",
"address_2": "SUITE #206",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95116",
"telephone_number": "408-251-6748",
"fax_number": "408-251-2116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N JACKSON AVE",
"address_2": "#206",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95116",
"telephone_number": "408-251-6748",
"fax_number": "408-251-2116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAVID",
"first_name": "YAMINALI",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A046602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A046602",
"state": "CA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.