Healthcare Provider Details

I. General information

NPI: 1689226433
Provider Name (Legal Business Name): GRACE J NO M.D. PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2019
Last Update Date: 09/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 N JACKSON AVE STE 111
SAN JOSE CA
95116-1909
US

IV. Provider business mailing address

305 S BAYVIEW AVE
SUNNYVALE CA
94086-6223
US

V. Phone/Fax

Practice location:
  • Phone: 408-761-4870
  • Fax: 408-604-0173
Mailing address:
  • Phone: 847-989-1018
  • Fax: 408-604-0173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GRACE JANE NO
Title or Position: CEO
Credential: MD
Phone: 408-761-4870