VA (NPI# 1417387002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417387002 |
| Entity Type | Organization |
| Organization Name | VA |
| Other Organization Name | VETRANS AFFIRE |
| Practice Address |
80 Great Oaks Blvd San Jose CA 95119 |
| Mailing Address |
80 Great Oaks Blvd San Jose CA 95119-1310 |
| Practice Telephone | 6504935000 |
| Mailing Telephone | 6504935000 |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |
| Authorized Official Name | MR. JIMMMIE THOMPSON (SOCIAL WORKER) |
| Authorized Official Telephone | 6504685805 |
| Authorized Official Credential | ASW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | ASW59763 | CA | Hospital Units |
| Other Name | Type Code |
|---|---|
| Vetrans Affire | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831434190 | Va | General Acute Care Hospital | 2701 Sequoia Creek Dr, San Jose, CA 95121-3209 | 2012-11-27 |
| 1467621748 | Va | Nursing Facility/Intermediate Care Facility | 17928 33rd Pl W, Lynnwood, WA 98037-7734 | 2008-02-21 |
| 1487840146 | Va | General Acute Care Hospital | 13119 149th St E, Puyallup, WA 98374-9487 | 2007-09-17 |
| 1073523221 | Va | Clinic/Center | 916 W. Owens Ave. Las Vegas Nv 89036, Las Vegas, NV 89117 | 2006-08-09 |
| 1538679576 | Va | Licensed Practical Nurse | 1601 S.w. Archer Road, Gainesville, FL 32608-1197 | 2017-10-04 |
| 1235212986 | Va | Counselor | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6513 | 2006-10-23 |
| 1275621435 | Va | Clinic/Center | 10000 Brecksville Rd, Brecksville, OH 44141-3204 | 2006-10-11 |
| Street Address |
80 GREAT OAKS BLVD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609844729 | Marion Jean Hogan | Nurse Practitioner | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2006-03-14 |
| 1033631205 | Nichole E Imamura-sperling | Social Worker | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2017-07-10 |
| 1326570706 | Joanna Michaels | Social Worker | 80 Great Oaks Blvd, B-209, San Jose, CA 95119-1310 | 2017-04-03 |
| 1184176752 | Linda Woodsmall | Social Worker | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2016-10-31 |
| 1053786780 | Patricia Ann Ash Moore | Social Worker | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2015-12-07 |
| 1457721128 | Russell Schnurr | Social Worker | 80 Great Oaks Blvd, 180d, San Jose, CA 95119-1310 | 2015-10-06 |
| 1003206244 | Va Palo Alto Healthcare System | Clinic/Center | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2015-01-26 |
| 1700284932 | Thanh Nga Thi Do | Social Worker | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2014-12-22 |
| 1295099331 | Angel Yu | Pharmacist | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2012-07-03 |
| 1639461106 | Ronnette Janae White | Social Worker | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2011-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306204342 | County of Santa Clara | Psychiatric Unit | 820 Enborg Court, San Jose, CA 95128 | 2016-02-05 |
| 1265736342 | Mental Health Urgent Care | Psychiatric Unit | 871 Enborg Ct Unit 100, San Jose, CA 95128-2645 | 2011-01-04 |
| 1821243783 | Santa Clara County Mental Health | Psychiatric Unit | 2221 Enborg Ln, San Jose, CA 95128 | 2008-11-19 |
| 1679637524 | Richard G. Galvan | Psychiatric Unit | 5755 Cottle Rd, Bldg 4, San Jose, CA 95123-3640 | 2006-12-21 |
| 1578519815 | Good Samaritan Hospital, L.p. | Psychiatric Unit | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2006-05-26 |
| 1720032790 | Good Samaritan Hospital, L.p. | Psychiatric Unit | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807643 | Pacific Health Group Inc. | Psychiatric Unit | 9120 Woodman Ave, Arleta, CA 91331-6405 | 2020-06-26 |
| 1720627979 | Ernest Markovich | Psychiatric Unit | 3235 N Hartman St, Orange, CA 92865-1216 | 2020-01-04 |
| 1316416670 | Psychiatric Excellence | Psychiatric Unit | 388 Market St Ste 1300, San Francisco, CA 94111-5316 | 2018-11-16 |
| 1982192514 | Veronica E Martinez | Psychiatric Unit | 9481 Hanford St, Ventura, CA 93004-0704 | 2018-04-30 |
| 1679008817 | Ucla Semel Institute | Psychiatric Unit | 615 6th St, Davis, CA 95616-3807 | 2017-04-25 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1871045385 | Molina Psychological Consultants | Psychiatric Unit | 18 Monrovia, Irvine, CA 92602-0925 | 2016-10-31 |
| 1457808073 | Susan Mora | Psychiatric Unit | 1239 Powell St, Apt 2, San Francisco, CA 94133-4874 | 2016-09-01 |
| 1477931673 | Nigthingale Nurses | Psychiatric Unit | 350 N Magnolia St, Woodlake, CA 93286-1320 | 2015-05-08 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
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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.