Provider Demographics
NPI:1609284231
Name:S. CHRIS HORINE DPM & NAJWA M JAVED, DPM
Entity Type:Organization
Organization Name:S. CHRIS HORINE DPM & NAJWA M JAVED, DPM
Other - Org Name:SILICON VALLEY PODIATRY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-358-2666
Mailing Address - Street 1:2505 SAMARITAN DR STE 509
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-4015
Mailing Address - Country:US
Mailing Address - Phone:408-358-2666
Mailing Address - Fax:408-358-7974
Practice Address - Street 1:2512 SAMARITAN CT
Practice Address - Street 2:SUITE A
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4002
Practice Address - Country:US
Practice Address - Phone:408-358-2666
Practice Address - Fax:408-358-7974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-28
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA129326Medicaid