Healthcare Provider Details

I. General information

NPI: 1649459967
Provider Name (Legal Business Name): W. JAMES SILVA MD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2007
Last Update Date: 11/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15466 LOS GATOS BLVD SUITE 109-169
LOS GATOS CA
95032-2542
US

IV. Provider business mailing address

15466 LOS GATOS BLVD SUITE 109-169
LOS GATOS CA
95032-2542
US

V. Phone/Fax

Practice location:
  • Phone: 408-358-7885
  • Fax: 408-356-1640
Mailing address:
  • Phone: 408-358-7885
  • Fax: 408-356-1640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberG39398
License Number StateCA

VIII. Authorized Official

Name: JORJA SILVA
Title or Position: OFFICE MANAGER
Credential:
Phone: 408-358-7885