Individual provider · Type 1 NPI

Vira Fomenko, MD

Family Medicine Physician · San Jose, CA

NPI number 1023512456 Active

Practice location

2400 Moorpark Ave Ste 300
San Jose, CA 95128-2680

Call (408) 975-2730 Map

Fax (408) 975-2764

Other practice locations

  • 250 Hospital Pkwy, San Jose, CA 95119-1103 · (408) 972-3000

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XA164062 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1023512456

Vira Fomenko, MD's National Provider Identifier is 1023512456, issued on Mar 20, 2018. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in San Jose, CA. The record was last updated on Nov 21, 2025.