SANTA CLARA VALLEY MEDICAL CENTER (NPI# 1023494572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023494572 |
| Entity Type | Organization |
| Organization Name | SANTA CLARA VALLEY MEDICAL CENTER |
| Practice Address |
751 S Bascom Ave San Jose CA 95128-2604 |
| Mailing Address |
70 W Hedding St San Jose CA 95110-1705 |
| Practice Telephone | 4088855000 |
| Mailing Telephone | 4088857200 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |
| Authorized Official Name | DR. ALFONSO F BANUELOS (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 4088855000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | PA52661 | CA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164665618 | Santa Clara Valley Medical Center | General Acute Care Hospital | 1607 Parkmoor Ave, Apartment 228, San Jose, CA 95128-2437 | 2009-04-14 |
| 1316497399 | Santa Clara Valley Medical Center | Student in an Organized Health Care Education/Training Program | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2016-10-13 |
| 1689012148 | Santa Clara Valley Medical Center | Clinic/Center | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2013-06-06 |
| 1740523729 | Santa Clara Valley Medical Center | Student in an Organized Health Care Education/Training Program | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2013-03-28 |
| 1295093698 | Santa Clara Valley Medical Center | Internal Medicine | 751 S Bascom Ave, Internal Medicine, San Jose, CA 95128-2604 | 2012-04-24 |
| 1205112778 | Santa Clara Valley Medical Center | General Acute Care Hospital | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2011-10-28 |
| Street Address |
751 S BASCOM AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396743217 | Ellen Perez Travis | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2005-07-13 |
| 1235738691 | Alina Bogdanovich | Registered Nurse | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2020-10-17 |
| 1255946380 | Kimberly Red Soria | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-09-15 |
| 1568072403 | Emily Win Hou | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-08-05 |
| 1649880063 | Katherine Ann Trescott | Speech-Language Pathologist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-08-01 |
| 1992320386 | Gino Dizon Legaspi | Physical Therapy Assistant | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-06-11 |
| 1215552732 | Emily Louise Masad | Physician Assistant | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2020-06-10 |
| 1790300341 | Laura Muzzatti | Physical Therapist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-06-09 |
| 1679195085 | Raymond Chao | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-05-08 |
| 1407476765 | Yoo Jung Kim | Student in an Organized Health Care Education/Training Program | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-04-16 |
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| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184170458 | Excel Medicine Inc | General Acute Care Hospital | 4035 Evergreen Village Square, St # 60, San Jose, CA 95135 | 2016-08-28 |
| 1770971053 | Eric Huffman | General Acute Care Hospital | 2331 Saidel Dr Apt 2, San Jose, CA 95124-4242 | 2015-01-08 |
| 1831434190 | Va | General Acute Care Hospital | 2701 Sequoia Creek Dr, San Jose, CA 95121-3209 | 2012-11-27 |
| 1164665618 | Santa Clara Valley Medical Center | General Acute Care Hospital | 1607 Parkmoor Ave, Apartment 228, San Jose, CA 95128-2437 | 2009-04-14 |
| 1730130071 | State of California - Department of Developmental Services | General Acute Care Hospital | 3500 Zanker Rd, San Jose, CA 95134-2201 | 2006-05-12 |
| 1881689941 | County of Santa Clara | General Acute Care Hospital | 871 Enborg Ct, Barbara Aarons Psychiatry Units, San Jose, CA 95128-2645 | 2005-09-14 |
| 1447724646 | County of Santa Clara | General Acute Care Hospital | 2105 Forest Ave, San Jose, CA 95128-1425 | 2019-01-22 |
| 1467921247 | O'connor Hospital | General Acute Care Hospital | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-11-21 |
| 1518343821 | Kaiser Permanente | General Acute Care Hospital | 280 Hospital Pkwy, Bldg B, San Jose, CA 95119-1103 | 2015-08-10 |
| 1972985083 | O'connor Hospital | General Acute Care Hospital | 455 Oconnor Dr, Suite 200, San Jose, CA 95128-1633 | 2015-06-25 |
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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.