Active NPI
Surgicalists of Ca PC
Doing business as The Surgicalist Group PLLC
- Surgery Physician
- San Jose, CA
National Provider Identifier
1992341895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SURGICALISTS OF CA PC
- Doing business as
- The Surgicalist Group PLLC
- Practice address
- 155 N Jackson Ave Ste 201
San Jose, CA 95116-1925 - Phone
- (408) 770-5224
- NPI assigned
- Nov 26, 2019
- Last updated
- Jan 6, 2025
- 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
- Dr. Mit Desai, MD
- Title
- Ceo
- Phone
- (813) 530-5043
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary |
Addresses
Primary practice location
155 N Jackson Ave Ste 201
San Jose, CA 95116-1925
Mailing address
PO Box 21647
Tampa, FL 33622-1647
Phone (813) 866-1959
Other names 1
- The Surgicalist Group PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Sonora, CA
- NPI 1982679239
-
- Surgical Critical Care Physician
- Eureka, CA
- NPI 1821236704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1992341895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21647",
"city": "TAMPA",
"state": "FL",
"postal_code": "336221647",
"telephone_number": "813-866-1959",
"fax_number": "813-530-5043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N JACKSON AVE STE 201",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161925",
"telephone_number": "408-770-5224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICALISTS OF CA PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-26",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "MIT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "813-530-5043",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Surgicalist Group PLLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Surgicalist Group PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jan 6, 2025; 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.