PRISM (NPI# 1568837060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568837060 |
| Entity Type | Organization |
| Organization Name | PRISM |
| Practice Address |
6080 Hellyer Ave Suite 100 San Jose CA 95138-1052 |
| Practice Telephone | 4084400930 |
| Practice Fax Number | 4084400389 |
| Mailing Telephone | 4084400930 |
| Mailing Fax Number | 4084400389 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |
| Authorized Official Name | DR. BRICE WILLIAM BLATZ (CHIEF EXECUTIVE) |
| Authorized Official Telephone | 4084400930 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRISM | 890 Elm Grove Rd Ste 209, Elm Grove, WI 53122-2528 |
| Colorado Business Entities | Prism | 1942 Broadway Street, Suite 314c, Boulder, CO 80302 |
| Ohio Business Entities | PRISM | 555 East Lafayette, Detroit, MI 48226 |
| Colorado Business Entities | PRISM (PROFESSIONAL RECRUITERS IN IS MANAGEMENT) LLC | 370 Interlocken Blvd Ste 400, Broomfield, CO 80021 |
| Oregon Corporations, Companies and Business Names | PRISM ACCOUNTING SERVICES | 3886 Monroe St, Eugene, OR 97405 |
| Colorado Business Entities | Prism Accounting, Inc. | 954 E. 2nd Avenue, Suite 104, Durango, CO 81301 |
| Ohio Business Entities | PRISM ADVERTISING | 26 E 6th St, Cincinnati, OH 45202 |
| New York State Corporations | PRISM ADVISORY LLC | 7 Turnberry Lane, Albany, New York 12211 |
| System for Award Management (SAM) Entities | PRISM AEROSPACE | 3087 12th St, Riverside, CA 92507-4904 |
| Colorado Business Entities | Prism Aesthetics, LLC | 4697 E Evans Ave, Denver, CO 80222 |
| Street Address |
6080 HELLYER AVE SUITE 100 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95138-1052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851709984 | Reveal Diagnostics, LLC | Radiology | 6080 Hellyer Ave, Suite 175, San Jose, CA 95138-1052 | 2014-08-01 |
| 1952857823 | Pacific Regenerative and Interventional Sports Medicine | Clinic/Center | 6080 Hellyer Ave, Suite 100, San Jose, CA 95138-1052 | 2016-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623865 | Nguyen and Tran Dental Corporation | Dentist | 6130 Hellyer Avenue, San Jose, CA 95138 | 2020-09-09 |
| 1821564485 | Indian Health Center of Santa Clara Valley | Clinic/Center | 9501 Malech Rd, San Jose, CA 95138 | 2018-10-22 |
| 1548690324 | Megan Chang | Occupational Therapist | 5900, Pistoia Way, San Jose, CA 95138 | 2013-11-15 |
| 1720428410 | Cristina Duenas | Social Worker | 5855 Silver Creek Valley Pl, San Jose, CA 95138 | 2013-06-27 |
| 1174967079 | Guardian Sleep Clinic, LLC | Clinical Medical Laboratory | 315 Piercy Rd, San Jose, CA 95138 | 2013-04-22 |
| 1871847889 | Rebecca Kerry Van Sickle | Counselor | 9500 Malech Rd, San Jose, CA 95138 | 2012-10-30 |
| 1366720906 | Ariosa Diagnostics, Inc. | Clinical Medical Laboratory | 5945 Optical Court, San Jose, CA 95138 | 2011-08-01 |
| 1043406713 | Umaru Fofana | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138 | 2007-09-17 |
| 1316140569 | Dickman & Bourla Chiropractic Inc | Chiropractor | 2311 Silver Breeze Ct, San Jose, CA 95138 | 2007-06-06 |
| 1508983032 | Traci Pickett | Counselor | 9500 Malech Road, San Jose, CA 95138 | 2007-03-22 |
| Find all providers in zip 95138 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775267 | Ev Surgery Institute LLC | Clinic/Center | 105 N Bascom Ave Ste 105, San Jose, CA 95128-1811 | 2020-09-18 |
| 1588131395 | Baasc | Clinic/Center | 4215 Hamilton Ave, San Jose, CA 95130-1462 | 2018-10-30 |
| 1295213734 | Los Gatos Surgical Center, A California Limited Partnership | Clinic/Center | 2410 Samaritan Dr Ste 100, San Jose, CA 95124-3909 | 2018-08-06 |
| 1538618368 | Evergreen Surgery Center, LLC | Clinic/Center | 2365 Quimby Rd Ste 180, San Jose, CA 95122-1337 | 2016-09-21 |
| 1801269121 | Silver Creek Surgery Ctr LLC | Clinic/Center | 6010 Hellyer Ave, Suite 100, San Jose, CA 95138-1014 | 2015-11-09 |
| 1891837415 | Plastic & Reconstructive Surgery Center | Clinic/Center | 2581 Samaritan Dr Ste 102, San Jose, CA 95124-4112 | 2007-02-12 |
| 1508942996 | Physicians Surgery Services Lp | Clinic/Center | 235 Oconnor Dr, San Jose, CA 95128-1624 | 2006-10-27 |
| 1194712109 | Executive Endoscopy, Inc | Clinic/Center | 2100 Forest Ave, 109, San Jose, CA 95128-1422 | 2005-10-04 |
| 1770951915 | Tri-county Vascular Care, LLC | Clinic/Center | 393 Blossom Hill Rd, San Jose, CA 95123-1652 | 2015-09-03 |
| 1750789814 | Trinity Surgery Center, LLC | Clinic/Center | 1610 Blossom Hill Rd, #13, San Jose, CA 95124-6349 | 2014-12-05 |
| Find all providers in SAN JOSE | ||||
Please comment or provide details below to improve the information on PRISM.
| 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.