Provider Demographics
NPI:1225711914
Name:SALIMI, JAVAD
Entity Type:Individual
Prefix:
First Name:JAVAD
Middle Name:
Last Name:SALIMI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:766 SARATOGA AVE APT 310
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-2483
Mailing Address - Country:US
Mailing Address - Phone:669-220-9227
Mailing Address - Fax:
Practice Address - Street 1:766 SARATOGA AVE APT 310
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-2483
Practice Address - Country:US
Practice Address - Phone:669-220-9227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24-4732086S0127X, 246XC2901X, 246XC2903X
CA24473246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No246XC2901XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularCardiovascular Invasive Specialist
No246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist