MINIMALLY INVASIVE SURGICAL SOLUTIONS MEDICAL CORPORATION
MINIMALLY INVASIVE SURGICAL SOLUTIONS MEDICAL CORPORATION is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1821167628, based in San Jose, CA. The organization lists 2 taxonomy classifications, with Vascular & Interventional Radiology Physician recorded as primary.
Getting there
The practice address on file is 105 N BASCOM AVE STE 104, San Jose, CA 95128. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 2163311101
- Enrollment ID
- O20040315001141
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Vascular & Interventional Radiology covers
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. NUCC Health Care Provider Taxonomy, code 2085R0204X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | — | — | primary |
| 207Q00000X | Family Medicine Physician | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1821167628 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 7, 2006 |
| Last updated | Jun 10, 2025 |
| Status | Active |
| Practice address |
105 N BASCOM AVE STE 104 San Jose, CA 95128 (408) 918-0405 Fax (408) 918-0409 |
| Other identifiers |
GR0095460
· Medicaid (CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 2 | 1 | 1 | 6 | 7 | 6 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 4 | 1 | 2 | 6 | 5 | 6 | 4 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.