Provider Demographics
NPI:1952305971
Name:MA, ADRIAN ON-NING (MD)
Entity Type:Individual
Prefix:MR
First Name:ADRIAN
Middle Name:ON-NING
Last Name:MA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 JOSE FIGUERES AVE STE 215
Mailing Address - Street 2:STE 215
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1588
Mailing Address - Country:US
Mailing Address - Phone:408-729-3388
Mailing Address - Fax:408-729-6688
Practice Address - Street 1:200 JOSE FIGUERES AVE STE 215
Practice Address - Street 2:STE 215
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1588
Practice Address - Country:US
Practice Address - Phone:408-729-3388
Practice Address - Fax:408-729-6688
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-08
Last Update Date:2012-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA45522207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A455220Medicaid
CA00A455220Medicaid
CAF64570Medicare UPIN
CA00A455222Medicare PIN