Provider Demographics
NPI:1194744292
Name:SILVA, W. JAMES (MD)
Entity type:Individual
Prefix:
First Name:W.
Middle Name:JAMES
Last Name:SILVA
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 1:15466 LOS GATOS BLVD
Mailing Address - Street 2:SUITE 109-169
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2542
Mailing Address - Country:US
Mailing Address - Phone:408-358-7885
Mailing Address - Fax:408-356-1640
Practice Address - Street 1:15466 LOS GATOS BLVD
Practice Address - Street 2:SUITE 109-169
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2542
Practice Address - Country:US
Practice Address - Phone:408-358-7885
Practice Address - Fax:408-356-1640
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG39398173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G393980Medicaid
CA8034418Medicare UPIN