Provider Demographics
| NPI: | 1326423302 |
|---|---|
| Name: | OACARE, INC. |
| Entity type: | Organization |
| Organization Name: | OACARE, INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | VIDYA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | PARAMESWARAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 408-866-1135 |
| Mailing Address - Street 1: | 700 W PARR AVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LOS GATOS |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 95032-1442 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 408-866-1135 |
| Mailing Address - Fax: | 408-866-7926 |
| Practice Address - Street 1: | 700 W PARR AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | LOS GATOS |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 95032-1442 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 408-866-1135 |
| Practice Address - Fax: | 408-866-7926 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2015-07-20 |
| Last Update Date: | 2015-07-20 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| CA | A86906 | 207RR0500X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | Group - Single Specialty |