Organization
SAN JOSE CARDIAC SURGERY GRP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MICHAEL SCHWARTZ MD (ADMINISTRATOR PARTNER)
(408) 559-1018
Entity
Organization
Contact information
Practice address
15215 NATIONAL AVE STE 103, LOS GATOS, CA 95032-2425
(408) 559-1018
(408) 371-3025
Mailing address
15215 NATIONAL AVE STE 103, LOS GATOS, CA 95032-2425
(408) 559-1018
(408) 371-3025
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C382510
MEDI-CAL
—
01
—
00G488080
MEDI-CAL
—
01
—
00G630840
MEDI-CAL
—
01
—
CN5287
RAILROAD MEDICARE
CA
01
—
EG48808
CHAMPUS
—
01
—
EG63084
CHAMPUS
—
05
—
GR0081260
—
CA
01
—
HC382510
HMO
—
01
—
HG48808
HMO
—
01
—
HG63084
HMO
—
01
—
PG48808
PPO
—
01
—
PG63084
PPO
—
01
—
ZZZ16883Z
BLUE SHIELD
CA
Enumeration date
05/11/2006
Last updated
05/27/2020
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