Physician Compare National (NPI:1356388516)

HEALTHCARE PROVIDER: BARBARA MAH HOM MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1356388516
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901088517
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110302001052
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOM
	Individual professional last name
Provider First Name	BARBARA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	320 DARDANELLI LN
	Group Practice or individual's line 1 address
Line 2 Street Address	25B
	Group Practice or individual's line 2 address
City	LOS GATOS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	950321419
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4083707801
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050380
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GOOD SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050308
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EL CAMINO HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y