Active NPI
Subha Mohan
- Pediatrics Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A178969
- Practice address
- 2039 Forest Ave
San Jose, CA 95128-4817 - Phone
- (408) 947-2929
- Fax
- (408) 283-7720
- NPI assigned
- May 11, 2019
- Sex
- Female
- 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 | A178969 | CA | Primary |
Addresses
Primary practice location
2039 Forest Ave
San Jose, CA 95128-4817
Mailing address
1333 Meridian Ave
San Jose, CA 95125-5212
Phone (408) 445-3400
Other practice location 1
240 Shotwell St
San Francisco, CA 94110-1323
Phone (415) 552-3870
Other practice location 2
1333 Meridian Ave
San Jose, CA 95125-5212
Phone (408) 445-3400
Other practice location 3
1642 E Capitol Expy
San Jose, CA 95121-1800
Phone (408) 445-3431
Other practice location 4
455 OConnor Dr
San Jose, CA 95128-1633
Phone (408) 283-7676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A178969 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Area Health Associates | Current | Accepting new patients |
Locations
240 Shotwell St
San Francisco, CA 94110
Phone (415) 552-1013
1580 Valencia St
Ste 506
San Francisco, CA 94110
Phone (415) 641-6500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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.
-
dba Mission Neighborhood Health Center
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1457427411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750550400000",
"number": "1992361356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 MERIDIAN AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255212",
"telephone_number": "408-445-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2039 FOREST AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284817",
"telephone_number": "408-947-2929",
"fax_number": "408-283-7720"
}
],
"practiceLocations": [
{
"address_1": "240 Shotwell St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941101323",
"country_code": "US",
"telephone_number": "415-552-3870",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1333 Meridian Ave",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951255212",
"country_code": "US",
"telephone_number": "408-445-3400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1642 E Capitol Expy",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951211800",
"country_code": "US",
"telephone_number": "408-445-3431",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 OConnor Dr",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951281633",
"country_code": "US",
"telephone_number": "408-283-7676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAN",
"first_name": "SUBHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-11",
"last_updated": "2025-06-22",
"certification_date": "2025-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A178969",
"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 Jun 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.