O'CONNOR HOSPITAL (NPI# 1306199831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306199831 |
| Entity Type | Organization |
| Organization Name | O'CONNOR HOSPITAL |
| Practice Address |
2105 Forest Ave San Jose CA 95128-1425 |
| Mailing Address |
Po Box 742797 Los Angeles CA 90074-2797 |
| Practice Telephone | 4089472500 |
| Mailing Telephone | 4089472500 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2016-05-02 |
| Authorized Official Name | MR. ROBERT A MINKIN (PRESIDENT & CEO) |
| Authorized Official Telephone | 4089472515 |
| Is Organization Subpart | Y |
| Parent Organization Name | O'CONNOR HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 05D0063391 | CA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZR00153H | 05 | |
| CA | HSC00153H | 05 | |
| CA | HSP40153H | 05 | |
| CA | CGP032465 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467921247 | O'connor Hospital | General Acute Care Hospital | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-11-21 |
| 1972985083 | O'connor Hospital | General Acute Care Hospital | 455 Oconnor Dr, Suite 200, San Jose, CA 95128-1633 | 2015-06-25 |
| 1801975156 | O'connor Hospital | Medicare Defined Swing Bed Unit | 460 Andes Rd, Delhi, NY 13753-7407 | 2006-11-06 |
| 1285738880 | O'connor Hospital | General Acute Care Hospital | 2105 Forest Ave, San Jose, CA 95128-1425 | 2006-09-12 |
| 1649381682 | O'connor Hospital | General Acute Care Hospital | 2105 Forest Ave, San Jose, CA 95128-1425 | 2006-08-31 |
| 1891728192 | O'connor Hospital | General Acute Care Hospital | 460 Andes Rd, Delhi, NY 13753-7407 | 2006-07-09 |
| Street Address |
2105 FOREST AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760475321 | Mrimaging of California, A Medical Corporation | Radiology | 2105 Forest Ave, Ste M, San Jose, CA 95128-1425 | 2005-08-29 |
| 1821602541 | Holly Maureen Milligan | Nurse Practitioner | 2105 Forest Ave, San Jose, CA 95128-1425 | 2020-09-01 |
| 1447724646 | County of Santa Clara | General Acute Care Hospital | 2105 Forest Ave, San Jose, CA 95128-1425 | 2019-01-22 |
| 1356813240 | Lyle Mroz | Pharmacist | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-12-18 |
| 1467921247 | O'connor Hospital | General Acute Care Hospital | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-11-21 |
| 1821565755 | Thuy Nhu Tran | Perfusionist | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-10-29 |
| 1306311576 | Emergency Physicians Associates San Jose PC | Emergency Medicine | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-10-03 |
| 1013492685 | Ryan Kar | Perfusionist | 2105 Forest Ave, San Jose, CA 95128-1471 | 2018-09-30 |
| 1205318128 | Pacific Neurophysiologists LLC | Electrodiagnostic Medicine | 2105 Forest Ave, San Jose, CA 95128-9512 | 2018-09-06 |
| 1952809808 | Anya Marie Milrod Holmquist | Nurse Practitioner | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-01-25 |
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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 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049447 | Sts Lab 1 LLC | Clinical Medical Laboratory | 2302 Trade Zone Blvd Rm 100, San Jose, CA 95131-1819 | 2020-10-02 |
| 1770117913 | Anpac Technology Usa Co Ltd | Clinical Medical Laboratory | 2260 Clove Dr Ste 127, San Jose, CA 95128-2634 | 2020-02-26 |
| 1124500137 | Shield Diagnostics Corp. | Clinical Medical Laboratory | 2865 Zanker Rd, San Jose, CA 95134-2101 | 2018-09-06 |
| 1457798019 | Sleep Clinic of Northern California | Clinical Medical Laboratory | 999 Story Road, Suite 9021, San Jose, CA 95122-4604 | 2013-05-22 |
| 1174967079 | Guardian Sleep Clinic, LLC | Clinical Medical Laboratory | 315 Piercy Rd, San Jose, CA 95138 | 2013-04-22 |
| 1366720906 | Ariosa Diagnostics, Inc. | Clinical Medical Laboratory | 5945 Optical Court, San Jose, CA 95138 | 2011-08-01 |
| 1497971584 | Permanente Medical Group, Inc | Clinical Medical Laboratory | 5755 Cottle Rd Bldg 6, Tpmg Regional Genetics Lab, San Jose, CA 95123-3640 | 2007-04-17 |
| 1700930187 | Unilab Corporation | Clinical Medical Laboratory | 985 Timothy Dr, San Jose, CA 95133-1043 | 2007-01-22 |
| 1528165883 | County of Santa Clara | Clinical Medical Laboratory | 2220 Moorpark Ave Fl 2, San Jose, CA 95128-2613 | 2006-09-20 |
| 1598860611 | South County Sleep Disorders Medical Center Inc | Clinical Medical Laboratory | 2520 Samaritan Dr Ste 104a, San Jose, CA 95124-4106 | 2006-09-13 |
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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.