Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VIRA FOMENKO, MD
ActiveVIRA FOMENKO, MD is a Family Medicine healthcare provider located in SAN JOSE, California. NPI 1023512456 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SAN JOSE, CA
Registration Details
- NPI Number
- 1023512456
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2018 (8.3999460453992 yrs)
- Last Updated
- Nov 21, 2025
- License
-
A164062 (CA)
Practice Information
- Address
-
2400 MOORPARK AVE STE 300SAN JOSE, CA, 951282680Browse CA providers · Browse ZIP 95128
- Phone
- 4089752730
- Fax
- 4089752764
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Student (Health Education/Training)
Other Family Medicine Providers in SAN JOSE, CA
| Name | Credential | NPI |
|---|---|---|
| VINCENT LE | DO | 1760485171 |
| DANIEL LOPEZ | M.D. | 1265430144 |
| DR. ANNE HUGHES | MD | 1962494278 |
| THANH UYEN LE | MD | 1679567051 |
| MANJULA KAMARAJU | MD | 1003802612 |
| JOCELIZA G CHAUDHARY | MD | 1982690509 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.