Provider Demographics
NPI:1164947883
Name:XSITEHEALTH
Entity Type:Organization
Organization Name:XSITEHEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BEHNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SADEGHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-515-5902
Mailing Address - Street 1:414 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5319
Mailing Address - Country:US
Mailing Address - Phone:408-934-0693
Mailing Address - Fax:
Practice Address - Street 1:2655 SEELY AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-1931
Practice Address - Country:US
Practice Address - Phone:408-515-5902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-03
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health