| Inspire Medical Group Of San Jose Pc | |
|
2039 Forest Ave Ste 308 San Jose CA 95128-4830 | |
| (408) 297-8600 | |
| (408) 297-5643 |
| Full Name | Inspire Medical Group Of San Jose Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2039 Forest Ave Ste 308, San Jose, California |
| Authorized Official Name and Position | Hankyu Chung (PRACTICE OWNER) |
| Authorized Official Contact | 4082978600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspire Medical Group Of San Jose Pc 2039 Forest Ave Ste 308 San Jose CA 95128-4830 Ph: (408) 297-8600 | Inspire Medical Group Of San Jose Pc 2039 Forest Ave Ste 308 San Jose CA 95128-4830 Ph: (408) 297-8600 |
| NPI Number | 1780793497 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 09/30/2024 |
| Medicare PECOS PAC ID | 1557447919 |
|---|---|
| Medicare Enrollment ID | O20080325000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780793497 | NPI | - | NPPES |
| A31980 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | (* (Not Available)) | Secondary |
| Provider Name | Steven Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043313992 PECOS PAC ID: 6901863281 Enrollment ID: I20041217000839 |
| Provider Name | Hankyu Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447367966 PECOS PAC ID: 1557447901 Enrollment ID: I20080325000628 |
| Provider Name | Samina H Taha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073510533 PECOS PAC ID: 1254412547 Enrollment ID: I20121206000603 |
| Provider Name | Pou Ellie Lue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710524566 PECOS PAC ID: 0547679540 Enrollment ID: I20210504000356 |
| Provider Name | Khine Hlaing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942913561 PECOS PAC ID: 6406211804 Enrollment ID: I20230508000142 |
Chris Chung, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Oconnor Dr, #150, San Jose, CA 95128 Phone: 408-293-7767 Fax: 408-294-6595 | |
Tuan Le, M.d. A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Lexann Ave, Suite 122, San Jose, CA 95121 Phone: 408-531-1555 | |
Frank D. Shin, Md, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1440 S De Anza Blvd, Suite A, San Jose, CA 95129 Phone: 408-366-0405 | |
Verity Medical Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 N Jackson Ave, San Jose, CA 95116 Phone: 408-278-3000 | |
Leena Gupta Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4945 Bridgeview Ln, San Jose, CA 95138 Phone: 408-666-0392 | |
Shen Medicine & Pediatrics Assc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Rosewood Ave, San Jose, CA 95117 Phone: 408-296-9800 Fax: 408-296-9805 | |
Terry C. Lin D.o.,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2520 Samaritan Dr., #201, San Jose, CA 95124 Phone: 888-582-0814 |