VA PALO ALTO HEALTHCARE SYSTEM


Address: 80 Great Oaks Blvd, San Jose, CA 95119-1310
Phone: 4083633000

VA PALO ALTO HEALTHCARE SYSTEM (NPI# 1003206244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003206244
Entity Type Organization
Organization Name VA PALO ALTO HEALTHCARE SYSTEM
Practice Address 80 Great Oaks Blvd
San Jose
CA 95119-1310
Mailing Address 2521 211th Ave E
Lake Tapps
WA 98391-9054
Practice Telephone 4083633000
Enumeration Date 2015-01-26
Last Update Date 2015-01-26
Authorized Official Name PAT MONTGOMERY (ASSISTANT CHIEF OF AUDIOLOGY)
Authorized Official Telephone 6504935000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
3033 CA Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1437340726 Va Palo Alto Healthcare System General Acute Care Hospital 3801 Miranda Ave, Palo Alto, CA 94304-1207 2007-08-05

Office Location

Street Address 80 GREAT OAKS BLVD
City SAN JOSE
State CA
Zip Code 95119-1310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609844729 Marion Jean Hogan Nurse Practitioner 80 Great Oaks Blvd, San Jose, CA 95119-1310 2006-03-14
1033631205 Nichole E Imamura-sperling Social Worker 80 Great Oaks Blvd, San Jose, CA 95119-1310 2017-07-10
1326570706 Joanna Michaels Social Worker 80 Great Oaks Blvd, B-209, San Jose, CA 95119-1310 2017-04-03
1184176752 Linda Woodsmall Social Worker 80 Great Oaks Blvd, San Jose, CA 95119-1310 2016-10-31
1053786780 Patricia Ann Ash Moore Social Worker 80 Great Oaks Blvd, San Jose, CA 95119-1310 2015-12-07
1457721128 Russell Schnurr Social Worker 80 Great Oaks Blvd, 180d, San Jose, CA 95119-1310 2015-10-06
1700284932 Thanh Nga Thi Do Social Worker 80 Great Oaks Blvd, San Jose, CA 95119-1310 2014-12-22
1417387002 Va Psychiatric Unit 80 Great Oaks Blvd, San Jose, CA 95119 2013-11-18
1295099331 Angel Yu Pharmacist 80 Great Oaks Blvd, San Jose, CA 95119-1310 2012-07-03
1639461106 Ronnette Janae White Social Worker 80 Great Oaks Blvd, San Jose, CA 95119-1310 2011-05-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922623594 Julia Angelina Rojas Rehabilitation Counselor 298 A Bernal Rd, San Jose, CA 95119 2020-06-10
1609496215 Kaiser Foundation Hospitals Pharmacy 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 2020-04-23
1104451194 Arthur Warren Hall Counselor 298 A Bernal Road, San Jose, CA 95119 2020-03-10
1992264774 Jennifer Luu Student in an Organized Health Care Education/Training Program 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 2019-03-19
1194209510 Victoria Marques Pharmacist 275 Hospital Parkway, Suite 625, San Jose, CA 95119 2018-09-21
1780123497 Costco Wholesale Corporation Hearing Aid Equipment 6898 Raleigh Road, San Jose, CA 95119 2017-02-14
1437563855 Mark Douglas Zukunft Emergency Medicine 250 Hospital Pkwy Dept Of, San Jose, CA 95119 2014-06-13
1669896338 Paul J. Zuchowski Chiropractic, A Professional Corporation Chiropractor 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 2014-02-14
1700227873 Yu-chien Cheng Internal Medicine 275 Hospital Pkwy Ste 600, San Jose, CA 95119 2013-07-17
1730432014 Tami Otomo Pharmacist 6201 San Ignacio Ave, San Jose, CA 95119 2012-10-24
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Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972609063 David Hop Li Clinic/Center 80 Great Oaks Blvd, San Jose, CA 95119-1310 2006-09-15
1346283744 Palo Alto Vamc Clinic/Center 5855 Silver Creek Valley Rd, San Jose, CA 95138-1059 2006-06-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396378030 Long Beach Vamc Clinic/Center 1149 W 190th St Ste 100, Gardena, CA 90248-4321 2020-02-21
1841831617 West Los Angeles Vamc Clinic/Center 7 W Foothill Blvd Ste D, Arcadia, CA 91006-2367 2019-10-03
1255972303 William Loushion Mccollum Clinic/Center 831 Gulf Ave, Wilmington, CA 90744-4201 2019-09-30
1851943104 Martinez Vamc Clinic/Center 11985 Heritage Oak Pl Ste 100, Auburn, CA 95603-2413 2019-07-16
1073064408 Martinez Vamc Clinic/Center 2860 Howe Rd, Martinez, CA 94553-4000 2016-10-20
1548651516 Loma Linda Vamc Clinic/Center 1273 W Hobsonway, Blythe, CA 92225-1423 2015-02-12
1538550694 Long Beach Vamc Clinic/Center 888 West Santa Ana Blvd, Suite 150, Santa Ana, CA 92701-4592 2015-02-11
1780089847 Yin Yang Health Care Clinic/Center 538 S Murphy Ave, Sunnyvale, CA 94086-6116 2014-10-30
1144638958 Martinez Vamc Clinic/Center 101 East Oberlin Road, Yreka, CA 96097-9645 2014-07-24
1447523196 Martinez Vamc Clinic/Center 425 Plumas Blvd, Yuba City, CA 95991-5074 2012-02-10
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Competitor

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City SAN JOSE
Zip Code 95119

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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