Healthcare Provider Details

I. General information

NPI: 1427154541
Provider Name (Legal Business Name): CLAIRE M DEL SIGNORE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 10/14/2022
Certification Date: 10/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 SAMARITAN DRIVE STE 607
SAN JOSE CA
95124
US

IV. Provider business mailing address

2505 SAMARITAN DRIVE STE 607
SAN JOSE CA
95124
US

V. Phone/Fax

Practice location:
  • Phone: 408-356-9900
  • Fax: 408-356-9939
Mailing address:
  • Phone: 408-356-9900
  • Fax: 408-356-9939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberC50287
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC50287
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: