Active NPI
Mohammed S. Qayyum, MD
- Interventional Cardiology Physician
- San Jose, CA
National Provider Identifier
1972972776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- A56213
- Legal business name
- MOHAMMED S. QAYYUM, MD
- Practice address
- 2577 Samaritan Dr Ste 845
San Jose, CA 95124-4110 - Phone
- (408) 610-2001
- Fax
- (408) 610-3880
- NPI assigned
- Sep 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristi M Zamora
- Title
- Billing Manager
- Phone
- (510) 366-6353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | A56213 | CA | Primary |
Addresses
Primary practice location
2577 Samaritan Dr Ste 845
San Jose, CA 95124-4110
Mailing address
4585 Stevens Creek Blvd
Suite 101
Santa Clara, CA 95051-6700
Phone (408) 298-0433
National Provider Directory
National Provider Directory- Tax ID family
- Mohammed S Qayyum MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- San Jose, CA
- NPI 1649647736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1972972776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4585 STEVENS CREEK BLVD",
"address_2": "SUITE 101",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950516700",
"telephone_number": "408-298-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2577 SAMARITAN DR STE 845",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244110",
"telephone_number": "408-610-2001",
"fax_number": "408-610-3880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHAMMED S. QAYYUM, MD",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-22",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "ZAMORA",
"authorized_official_first_name": "KRISTI",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "510-366-6353",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "A56213",
"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 May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.