NPI | Name | Type | Address |
---|---|---|---|
Shahid K Siddiqui Md Inc |
Organization |
200 Jose Figueres Ave Ste 320 San Jose, CA |
|
Walgreens |
Organization |
2585 Almaden Road San Jose, CA |
|
New Life And Hope, Inc. |
Organization |
1340 Tully Rd #309 San Jose, CA |
|
Ariba Healthcare Group Inc. |
Organization |
696 E Santa Clara St Suite 202 San Jose, CA |
|
Northern California Physicians Network Inc |
Organization |
2331 Montpelier Dr San Jose, CA |
|
Dr Tong Zheng Dds Inc |
Organization |
1062 S De Anza Blvd C-103 San Jose, CA |
|
DR. MD Chiu J Yuan |
Individual |
475 N 1st St San Jose, CA |
|
Nguyen Chiropractic Wellness Center, P.c. |
Organization |
2114 Senter Rd Suite 23 San Jose, CA |
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
Taxonomy Code | 302F00000X |
Display Name | Exclusive Provider Organization |
Taxonomy Group | Managed Care Organizations |
Taxonomy Classification | Exclusive Provider Organization |
Definition | (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
Effective Date | September 30, 2009 |