Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

South Bay Cardiovascular Medical Group, Inc

Organization Specialist · NPI 1003148073

South Bay Cardiovascular Medical Group, Inc is a Specialist in San Jose, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 N Bascom Ave Ste 204
San Jose, CA 95128-1811
Phone: (408) 918-0400
Fax: (408) 286-2922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A50310 (CA)
Cardiovascular Disease Physician Taxonomy 207RC0000X

Record details

NPI number1003148073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammad Shenasa — Owner · (408) 918-0400
NPI enumeratedFebruary 2, 2010
Last updated in NPPESAugust 30, 2017
Mailing address105 N Bascom Ave, Suite 204, San Jose, CA 95128-1811

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