Healthcare Provider Details

I. General information

NPI: 1619664489
Provider Name (Legal Business Name): ALISON CHASE, DO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2516 SAMARITAN DR STE J
SAN JOSE CA
95124-4108
US

IV. Provider business mailing address

2516 SAMARITAN DR STE J
SAN JOSE CA
95124-4108
US

V. Phone/Fax

Practice location:
  • Phone: 408-356-0578
  • Fax: 408-356-3986
Mailing address:
  • Phone: 408-356-0578
  • Fax: 408-356-3986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALISON THERSE CHASE
Title or Position: PEDIATRICIAN
Credential: DO
Phone: 408-356-0578