SILICON VALLEY MEDICAL DEVELOPMENT LLC (NPI# 1164880761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164880761 |
| Entity Type | Organization |
| Organization Name | SILICON VALLEY MEDICAL DEVELOPMENT LLC |
| Practice Address |
828 S Winchester Blvd San Jose CA 95128-2930 |
| Mailing Address |
973 University Ave Los Gatos CA 95032-7636 |
| Practice Telephone | 4088713221 |
| Practice Fax Number | 4088663999 |
| Mailing Telephone | 4088713221 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | MICHAEL WALSH (CONTROLLER) |
| Authorized Official Telephone | 6509407240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
828 S WINCHESTER BLVD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730258229 | Richard Angel Ornelas | Internal Medicine | 828 S Winchester Blvd, San Jose, CA 95128-2930 | 2006-11-07 |
| 1457710527 | Charlyne Julao | Family Medicine | 828 S Winchester Blvd, San Jose, CA 95128-2930 | 2016-02-18 |
| 1366671224 | Mathilde Moazazi | Emergency Medicine | 828 S Winchester Blvd, San Jose, CA 95128 | 2009-07-13 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962044057 | Aleracare Medical Group of California | Clinic/Center | 2331a Montpelier Dr Ste 20, San Jose, CA 95116-1614 | 2019-10-10 |
| 1457642548 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 3571 N 1st St Fl 2, San Jose, CA 95134-1803 | 2011-04-25 |
| 1285662270 | Shen Medicine & Pediatrics Associates A Professional Corporation | Clinic/Center | 316 Rosewood Ave, San Jose, CA 95117-1605 | 2006-06-29 |
| 1972598449 | County of Santa Clara | Clinic/Center | 750 S Bascom Ave, Valley Health Center At Bascom, San Jose, CA 95128-2603 | 2005-09-12 |
| 1992247811 | County of Santa Clara | Clinic/Center | 2101 Alexian Dr, Vhc At Alexian, San Jose, CA 95116-1901 | 2016-11-09 |
| 1396123568 | Sutter Visiting Nurse Association and Hospice | Clinic/Center | 455 Oconnor Dr, Suite 300, San Jose, CA 95128-1633 | 2015-05-08 |
| 1568713006 | Hospice of The Valley | Clinic/Center | 455 Oconnor Dr, Suite 300, San Jose, CA 95128-1633 | 2012-09-24 |
| 1326312067 | Verity Medical Foundation | Clinic/Center | 625 Lincoln Ave, San Jose, CA 95126-3705 | 2012-02-27 |
| 1629236500 | Indian Health Center of Santa Clara Valley | Clinic/Center | 602 E Santa Clara St, Suite 230, San Jose, CA 95112-1908 | 2008-05-28 |
| 1518125491 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2008-05-28 |
| 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.