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

Dr. Niv E Decalo, MD

Individual provider Diagnostic Radiology Physician · NPI 1053511667

Dr. Niv E Decalo, MD is a Diagnostic Radiology in San Jose, California. Graduated from Tufts University School of Medicine in 2005, 21 years ago. Practices with Adventist Health Physicians Network, a 632-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Trained at
Tufts University School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

225 N Jackson Ave
San Jose, CA 95116
Phone: (408) 259-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Founders Plz, East Hartford, CT 06108-3212 — (860) 289-3375

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A120987 (CA)

Record details

NPI number1053511667
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2007
Last updated in NPPESMarch 29, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Adventist Health Physicians Network — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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