Dr. Niv E Decalo, MD
Radiology, Diagnostic Radiology in San Jose, California
1053511667- Practice location
- 225 N Jackson Ave, San Jose, CA 95116
- Phone
- 408-259-5000
- Fax
- —
- Last updated
- March 29, 2019
Niv E Decalo is a Radiology, Diagnostic Radiology based in San Jose, CA. Niv E Decalo practices in San Jose, CA and has the professional credentials of MD. The NPI Number for Niv E Decalo is 1053511667 and holds a License No. A120987 (CA). The current practice location address for Niv E Decalo is 225 N Jackson Ave, San Jose, CA 95116 and can be reached out via phone at 408-259-5000.
Provider Profile Details
- NPI Number
- 1053511667
- Provider Name
- Niv E Decalo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 225 N Jackson Ave, San Jose, CA 95116
- Phone Number
- 408-259-5000
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 21, 2007
- Last Update Date
- March 29, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 225 N Jackson Ave
San Jose, CA 95116 - City
- San Jose
- State
- California
- Zip
- 95116
- Phone Number
- 408-259-5000
Provider Business Mailing Address Details
- Address
- 250 Cherry Ln Ste 116
Manteca, CA 95337-4398 - City
- Manteca
- State
- CA
- Zip
- 95337-4398
- Phone Number
- 209-647-2184
- Fax Number
- 209-647-4684
License Information
- License Number
- A120987
- License State
- CA
- Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Niv E Decalo, MD?
The NPI number of Dr. Niv E Decalo, MD is 1053511667. It was assigned on July 21, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Niv E Decalo, MD?
Dr. Niv E Decalo, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in CA under license number A120987.
Where does Dr. Niv E Decalo, MD practice?
The practice location is 225 N Jackson Ave, San Jose, CA 95116. The office can be reached at 408-259-5000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053511667 directly on the NPPES registry website.