MEDICARE: MS. GOTAMI PAZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	41917	OTHER	CA	UNICARE

General Provider Information

NPI Number	:	1568538247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GOTAMI PAZ

Provider Business Mailing Address
First Line	:	1468 FOUR OAKS CIR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95131-2644
Country	:	US
Telephone Number	:	408-280-2633
Fax Number	:

Provider Business Practice Location Address
First Line	:	1468 FOUR OAKS CIR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95131-2644
Country	:	US
Telephone Number	:	408-280-2633
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1952408247 — MYA KYAW M.D.
Practice Location Address:

820 ENBORG CT UNIT 400
SAN JOSE, CA
95128-2644

Practice Phone: 408-885-6140
Practice Fax:

1962642736 — MS. KATHRYN PARLET LMFT
Practice Location Address:

820 ENBORG CT
SAN JOSE, CA
95128-2644

Practice Phone: 408-885-8520
Practice Fax:

1518299221 — SOLOMON ENOW
Practice Location Address:

820 ENBORG CT
SAN JOSE, CA
95128-2644

Practice Phone: 408-885-7580
Practice Fax:

1538413711 — JOSEFA CORONEL PHARMD
Practice Location Address:

10761 RIDGEVIEW AVE
SAN JOSE, CA
95127-2644

Practice Phone: 510-378-3383
Practice Fax:

1912970351 — LOS ANGELES MEDICAL CLINIC CORP
Practice Location Address:

1400 CALLE SAN RAFAEL , ESQ HIPODROMO SUITE 201
SANTURCE, PR
00909-2644

Practice Phone: 787-721-6626
Practice Fax: 787-725-1287

Directions to “ MS. GOTAMI PAZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.