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1910 N Capitol Ave San Jose CA 95132-1019 | |
| (888) 265-2120 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 1910 N Capitol Ave, San Jose, California |
| Authorized Official Name and Position | Emily Castillo (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 7024802550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
75 E Santa Clara St Suite 950 San Jose CA 95113-1827 Ph: (408) 937-3600 | 1910 N Capitol Ave San Jose CA 95132-1019 Ph: (888) 265-2120 |
| NPI Number | 1891175444 |
|---|---|
| Provider Enumeration Date | 06/08/2015 |
| Last Update Date | 01/10/2025 |
| Medicare PECOS PAC ID | 8224312244 |
|---|---|
| Medicare Enrollment ID | O20170426001222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891175444 | NPI | - | NPPES |
| Provider Name | Charles Ashley Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295781359 PECOS PAC ID: 8325037849 Enrollment ID: I20041223000149 |
| Provider Name | Ines Munoz De Laborde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912900796 PECOS PAC ID: 1759313976 Enrollment ID: I20090123000236 |
| Provider Name | Jaco Fishenfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689639577 PECOS PAC ID: 4385823731 Enrollment ID: I20110201000196 |
| Provider Name | Rose D Palma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033123922 PECOS PAC ID: 4183800303 Enrollment ID: I20110523000637 |
| Provider Name | Sally Escarda Nacianceno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720180094 PECOS PAC ID: 8123294998 Enrollment ID: I20111228000328 |
| Provider Name | Shahriar S Parsa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376713875 PECOS PAC ID: 3476708553 Enrollment ID: I20130220000395 |
| Provider Name | Sveltlana Burkhead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730401274 PECOS PAC ID: 5496987224 Enrollment ID: I20170816002710 |
| Provider Name | Narinder Trehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215932249 PECOS PAC ID: 7911064258 Enrollment ID: I20191001002622 |
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