COUNTY OF SANTA CLARA (NPI# 1972679850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972679850 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SANTA CLARA |
| Other Organization Name | SCVMC RENAL CARE CENTER |
| Practice Address |
2220 Moorpark Ave Scvmc Renal Care Center San Jose CA 95128-2613 |
| Mailing Address |
Po Box 398407 Scvhhs Patient Business Services San Francisco CA 94139-8407 |
| Practice Telephone | 4088855000 |
| Mailing Telephone | 4088857354 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2016-09-16 |
| 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 | 261Q00000X | Clinic/Center | 070000085 | CA | Ambulatory Health Care Facilities |
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
070000085 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RR MEDICARE | CG5995 | 01 |
| CA | HSP40038F | 05 |
| Other Name | Type Code |
|---|---|
| SCVMC Renal Care Center | 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 |
2220 MOORPARK AVE SCVMC RENAL CARE CENTER |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336647775 | Marycarmel King | Social Worker | 2220 Moorpark Ave, San Jose, CA 95128-2613 | 2018-01-31 |
| 1558603662 | Cynthia Tigno Delabahan | Dietitian, Registered | 2220 Moorpark Ave, San Jose, CA 95128-2613 | 2013-03-27 |
| 1508106717 | Wei-chen Feng | Dietitian, Registered | 2220 Moorpark Ave, San Jose, CA 95128-2613 | 2013-02-25 |
| 1588904809 | Elena Marie Caviar | Dietitian, Registered | 2220 Moorpark Ave, San Jose, CA 95128-2613 | 2013-02-22 |
| 1629343033 | Christina Leigh Bradshaw | Internal Medicine | 2220 Moorpark Ave, San Jose, CA 95128-2613 | 2012-03-19 |
| 1124309380 | Catherine Jean Hill | Pharmacist | 2220 Moorpark Ave, San Jose, CA 95128-2613 | 2011-09-01 |
| 1144500257 | Leticia Cabello | Pharmacist | 2220 Moorpark Ave, San Jose, CA 95128-2613 | 2011-08-19 |
| 1043403066 | Jiann-gang Frank Luo | Internal Medicine | 2220 Moorpark Ave, San Jose, CA 95128-2613 | 2007-08-22 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134612468 | Kaiser Foundation Hospitals | Clinic/Center | 1721 Technology Dr Ste 245, San Jose, CA 95110-1305 | 2018-06-12 |
| 1992204481 | Satellite Dialysis of White Road LLC | Clinic/Center | 3251 S White Rd Ste 10, San Jose, CA 95148-4056 | 2018-02-09 |
| 1427572908 | Toulouse Dialysis LLC | Clinic/Center | 3501 E Capitol Expy, San Jose, CA 95122-1024 | 2017-07-27 |
| 1306299391 | Satellite Healthcare Inc | Clinic/Center | 1450 Kooser Road, San Jose, CA 95118 | 2016-07-14 |
| 1114347473 | Satellite Healthcare Inc | Clinic/Center | 4360 Stevens Creek Blvd, Suite A, San Jose, CA 95129-1103 | 2014-04-24 |
| 1972927960 | Satellite Healthcare San Jose LLC | Clinic/Center | 888 S Bascom Ave, San Jose, CA 95128-2605 | 2014-02-11 |
| 1457797474 | Clover Dialysis LLC | Clinic/Center | 275 Di Salvo Ave, San Jose, CA 95128-1628 | 2013-05-16 |
| 1154668184 | Total Renal Care Inc | Clinic/Center | 1290 Tully Rd, Ste 80, San Jose, CA 95122-3069 | 2013-01-10 |
| 1104187202 | Skagit Dialysis LLC | Clinic/Center | 725 Ridder Park Dr, Ste 10, San Jose, CA 95131-2431 | 2012-06-05 |
| 1386882934 | Total Renal Care Inc | Clinic/Center | 3162 S White Rd, Ste 100, San Jose, CA 95148-4019 | 2009-02-04 |
| 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.