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Export Provider Record NPI 1164737581
Dina SukharevMD
Active
NPI Number1164737581
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1164737581
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2010-08-10
Last Updated2013-11-14
Mailing Address2350 W. El Camino Real, 2nd Floor
Mountain View, CA 94040-6203
United States
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Primary Practice Address2400 Samaritan Dr, Ste 203
San Jose, CA 95124-3910
United States
Phone: (408) 739-6000
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicineCAA122191
No390200000X – Student in an Organized Health Care Education/Training Program--
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About NPI 1164737581

Dina Sukharev MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1164737581. The primary specialty listed is Family Medicine. The provider is located in San Jose, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-08-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1164737581?

NPI 1164737581 belongs to Dina Sukharev MD, a Family Medicine in San Jose, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1164737581 active?

The current status of NPI 1164737581 in the NPPES registry is Active. The record was last updated on 2013-11-14.

What specialty is NPI 1164737581?

NPI 1164737581 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1164737581?

You can verify NPI 1164737581 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1164737581?

The primary practice address on file for NPI 1164737581 is 2400 Samaritan Dr, San Jose, CA 95124-3910. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1164737581 issued?

NPI 1164737581 was first issued (enumerated) on 2010-08-10. The NPPES record was last updated on 2013-11-14.

Practice Location Map

Dina Sukharev is located at 2400 Samaritan Dr, San Jose, CA. Use the map below to find directions or verify the practice location.

📍 2400 Samaritan Dr, San Jose, CA 95124-3910  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Dina Sukharev. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1164737581. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family MedicineA122191CA
Data Verified from CMS NPPES Last synced: 2026-08-23 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162