Physicians Medical Group of San Jose, Inc.
NPI 1568503654 · Non-Pharmacy Dispensing Site · San Jose, CA
Physicians Medical Group of San Jose, Inc. is a Non-Pharmacy Dispensing Site organization in San Jose, CA (NPI 1568503654).
Provider details
- NPI number
- 1568503654
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Director of Operations(858) 625-2990
- License
- A71045 (CA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2012-10-17
Frequently asked questions
- What is Physicians Medical Group of San Jose, Inc.'s NPI number?
- Physicians Medical Group of San Jose, Inc.'s National Provider Identifier (NPI) is 1568503654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Physicians Medical Group of San Jose, Inc.?
- Physicians Medical Group of San Jose, Inc. is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Physicians Medical Group of San Jose, Inc. located?
- Physicians Medical Group of San Jose, Inc.'s practice location on file with NPPES is 625 Lincoln Ave, San Jose, CA 95126-3705.
- What is Physicians Medical Group of San Jose, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Physicians Medical Group of San Jose, Inc. is (408) 278-3203.
- Who is the authorized official for Physicians Medical Group of San Jose, Inc.?
- The authorized official listed on Physicians Medical Group of San Jose, Inc.'s NPPES record is Kenny Heine, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Physicians Medical Group of San Jose, Inc.'s NPI active?
- Yes — Physicians Medical Group of San Jose, Inc.'s NPI (1568503654) is active in the NPPES registry as of the last update on 2012-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.