SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY (NPI# 1154986107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154986107 |
| Entity Type | Organization |
| Organization Name | SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY |
| Practice Address |
855 Lenzen Ave Rm 105 San Jose CA 95126-2736 |
| Mailing Address |
6840 Via Del Oro Ste 210 San Jose CA 95119-1372 |
| Practice Telephone | 4085254729 |
| Mailing Telephone | 4082842289 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |
| Authorized Official Name | JOCELYN HART (COO/CFO) |
| Authorized Official Telephone | 4082842289 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477950681 | School Health Clinics of Santa Clara County | Health Maintenance Organization | 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 | 2014-12-03 |
| 1376683151 | School Health Clinics of Santa Clara County | Clinic/Center | 645 Wool Creek Dr, San Jose, CA 95112-2617 | 2007-02-08 |
| 1083755631 | School Health Clinics of Santa Clara County | Clinic/Center | 1835 Cunningham Ave, San Jose, CA 95122-1712 | 2007-02-08 |
| 1689620478 | School Health Clinics of Santa Clara County | Clinic/Center | 7861 Murray Ave, Gilroy, CA 95020-4604 | 2006-05-25 |
| 1851431647 | School Health Clinics of Santa Clara County | Clinic/Center | 100 Oak St, San Jose, CA 95110-2817 | 2007-02-08 |
| 1447390265 | School Health Clinics of Santa Clara County | Clinic/Center | 1149 E Julian St, Building H., San Jose, CA 95116-1005 | 2007-02-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY | 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 |
| Street Address |
855 LENZEN AVE RM 105 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
| Find all providers in zip 95126 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982611349 | Marie Anson-rebong | Pediatrics | 2350 Mckee Road, Ste 1, San Jose, CA 95116-1606 | 2006-08-01 |
| 1619922887 | Kjartan Dean Armann | Pediatrics | 2516 Samaritan Drive, Suite J, San Jose, CA 95124-4108 | 2006-05-24 |
| 1720228224 | Rita Zorian Md | Pediatrics | 2577 Samaritan Dr, Suite 830, San Jose, CA 95124-4100 | 2009-02-24 |
| 1326054776 | Kenneth Pomar Rebong | Pediatrics | 2350 Mckee Rd, Suite 1, San Jose, CA 95116-1617 | 2006-07-31 |
| 1558325456 | Jerry Robert Klein | Pediatrics | 751 S Bascom Ave, Juvenile Hall-pediatrics, San Jose, CA 95128-2604 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669927125 | Irvine Doctors of Kids and Teens | Pediatrics | 4950 Barranca Pkwy Ste 306, Irvine, CA 92604-4631 | 2016-08-24 |
| 1043673270 | Alexander S Golec | Pediatrics | 3333 California St Ste 245, San Francisco, CA 94118-6210 | 2016-04-04 |
| 1710360094 | Jennifer Johnson, M.d., A Professional Corporation | Pediatrics | 366 San Miguel Dr Ste 209, Newport Beach, CA 92660-7810 | 2015-07-03 |
| 1902290448 | Brittany Kathleen Badal | Pediatrics | 2330 Post St Ste 219, San Francisco, CA 94115-3465 | 2015-03-23 |
| 1750770608 | Ighia Aintablian Md A Professional Corporation | Pediatrics | 1510 S Central Ave Ste 450, Glendale, CA 91204-2510 | 2015-01-15 |
| 1184035032 | Carlos Beharie M.d. Medical Group, Inc. | Pediatrics | 4160 N. Maine Ave, Suite B1, B2, B3, Baldwin Park, CA 91706-3304 | 2014-05-14 |
| 1164859385 | Pediatric Adolescent Clinic | Pediatrics | 1214 Adriana Way, Upland, CA 91784-1742 | 2013-10-02 |
| 1578804084 | Eleanor S. Blatt | Pediatrics | 212 20th St, Huntington Beach, CA 92648-3914 | 2013-03-07 |
| 1053676619 | Gladys Hope Dadivas Yerro | Pediatrics | 14555 Hamlin St Ste 108, Van Nuys, CA 91411-1617 | 2012-07-10 |
| 1730471699 | Ilana Katsnelson | Pediatrics | 901 Campus Dr Ste 210, Daly City, CA 94015-4930 | 2011-05-11 |
| Find all providers with the same taxonomy | ||||
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| 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.