COUNTY OF SANTA CLARA (NPI# 1972598449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972598449 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SANTA CLARA |
| Other Organization Name | VALLEY HEALTH CENTER AT BASCOM |
| Practice Address |
750 S Bascom Ave Valley Health Center At Bascom San Jose CA 95128-2603 |
| Mailing Address |
Po Box 398407 Patient Business Services San Francisco CA 94139-8407 |
| Practice Telephone | 4088855000 |
| Mailing Telephone | 4088857354 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2016-09-12 |
| Authorized Official Name | DR. JEFFREY L ARNOLD (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 4088854001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF SANTA CLARA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
070000085 | CA | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
070000085 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC80060F | 05 | |
| CA | HAP80060F | 05 | |
| CA | BCP80060F | 05 | |
| CA | RAILROAD RETIREMENT MEDICARE | CG5995 | 01 |
| Other Name | Type Code |
|---|---|
| Valley Health Center at Bascom | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578082400 | County of Santa Clara | Clinic/Center | 2101 Alexian Dr., Vhc At Alexian, San Jose, CA 95116-1901 | 2017-09-12 |
| 1073052734 | County of Santa Clara | Community/Behavioral Health | 4825 Speak Ln, San Jose, CA 95118-3769 | 2017-02-14 |
| 1306204342 | County of Santa Clara | Psychiatric Unit | 820 Enborg Court, San Jose, CA 95128 | 2016-02-05 |
| 1447645296 | County of Santa Clara | Clinic/Center | 777 E. Santa Clara St, Vhc At Downtown, San Jose, CA 95112 | 2015-03-30 |
| 1508269853 | County of Santa Clara | Community/Behavioral Health | 591 N King Rd Ste 1, San Jose, CA 95133-1661 | 2014-10-01 |
| 1053713958 | County of Santa Clara | Community/Behavioral Health | 2650 Senter Rd, San Jose, CA 95111-1121 | 2014-09-23 |
| 1508296526 | County of Santa Clara | Community/Behavioral Health | 850 Day Rd, Gilroy, CA 95020-9324 | 2013-11-13 |
| 1205275252 | County of Santa Clara | Community/Behavioral Health | 85 Tilton Ave, Morgan Hill, CA 95037-2504 | 2013-06-21 |
| 1316265226 | County of Santa Clara | Clinic/Center | 143 North Main Street, Milpitas, CA 95035-5302 | 2010-05-17 |
| 1083875074 | County of Santa Clara | Clinic/Center | 2221 Enborg Ln Ste 200, San Jose, CA 95128-2608 | 2008-06-23 |
| Street Address |
750 S BASCOM AVE VALLEY HEALTH CENTER AT BASCOM |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386193951 | Shelley Wood | Dietitian, Registered | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2016-09-23 |
| 1942605282 | Semhar Hailemicael | Nurse Practitioner | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2014-10-29 |
| 1154740033 | Alison Chiang | Pediatrics | 750 S Bascom Ave, San Jose, CA 95128 | 2014-04-08 |
| 1962833004 | Annette Watts | Nurse Practitioner | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2013-11-27 |
| 1790128163 | Iliana Harrysson | Pediatrics | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2013-04-16 |
| 1578806808 | Elvera Sofos | Pediatrics | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2013-04-04 |
| 1215290663 | Marie Eusalind Tottoc | Pharmacist | 750 S Bascom Ave, Pharmacy, Suite 120, San Jose, CA 95128-2603 | 2012-06-20 |
| 1881952588 | Christine Le | Pediatrics | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2012-05-01 |
| 1982961587 | Yvonne Phan | Pharmacist | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2012-04-19 |
| 1518234889 | Carson Welty | Pediatrics | 750 S Bascom Ave, San Jose, CA 95128-2603 | 2011-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669094504 | Bay Area Community Health | Clinic/Center | 3434 Silver Creek Rd Rm M1, San Jose, CA 95121-1845 | 2020-05-14 |
| 1720600760 | Bay Area Community Health | Clinic/Center | 2880 Story Rd Ste 10, San Jose, CA 95127-3942 | 2020-05-13 |
| 1487276424 | Bay Area Community Health | Clinic/Center | 242 La Pala Dr Ste A&b, San Jose, CA 95127-2103 | 2020-05-13 |
| 1598387672 | Bay Area Community Health | Clinic/Center | 3200 Senter Rd Rm S104, San Jose, CA 95111-1332 | 2020-05-12 |
| 1962024059 | Bay Area Community Health | Clinic/Center | 1066 S White Rd Ste 170, San Jose, CA 95127-3812 | 2020-05-12 |
| 1407478597 | Bay Area Community Health | Clinic/Center | 1855 Lucretia Ave Bldg M, San Jose, CA 95122-3730 | 2020-05-12 |
| 1659993632 | Bay Area Community Health | Clinic/Center | 617 N Jackson Ave Bldg 1, San Jose, CA 95133-2345 | 2020-05-12 |
| 1821564485 | Indian Health Center of Santa Clara Valley | Clinic/Center | 9501 Malech Rd, San Jose, CA 95138 | 2018-10-22 |
| 1770027047 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 3434 Silver Creek Rd, Room M1, San Jose, CA 95121-1845 | 2016-12-06 |
| 1437607355 | Indian Health Center of Santa Clara Valley | Clinic/Center | 2039 Forest Ave Ste 204b, San Jose, CA 95128-4815 | 2016-09-20 |
| Find all providers in SAN JOSE | ||||
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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.