Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

South Bay Cardiovascular Medical Group, Inc

Organization Specialist · NPI 1003148073

South Bay Cardiovascular Medical Group, Inc provides Specialist services 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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