Individual provider Active NPI

James Chae-Chon Son, M.D.

  • Internal Medicine Physician
  • Santa Clara, CA
National Provider Identifier
1972535680
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A055194 Issued in CA
Practice address
1150 Scott Blvd Ste B3
Santa Clara, CA 95050-4547
Phone
(408) 261-7245
Fax
(408) 261-7249
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A055194 CA Primary

Addresses

Primary practice location

1150 Scott Blvd Ste B3
Santa Clara, CA 95050-4547

Mailing address

1150 Scott Blvd Ste B3
Santa Clara, CA 95050-4547
Phone (408) 261-7245

Other identifiers 1

IdentifierTypeStateIssuer
00A551940MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120202000696 CA Practitioner - Internal Medicine 2668639683 Practice locations: Santa Clara, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1150 Scott Blvd
Suite B3
Santa Clara, CA 95050-4547
Phone (408) 261-7245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A055194CAMDInternal Medicine Physician
55194CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
O'Connor Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1972535680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 SCOTT BLVD STE B3",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504547",
            "telephone_number": "408-261-7245",
            "fax_number": "408-261-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SCOTT BLVD STE B3",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504547",
            "telephone_number": "408-261-7245",
            "fax_number": "408-261-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SON",
        "first_name": "JAMES",
        "middle_name": "CHAE-CHON",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A055194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A551940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.