COUNTY OF SANTA CLARA


Address: 90 Highland Ave, San Martin, CA 95046-9504
Phone: 4086862222

COUNTY OF SANTA CLARA (NPI# 1619011616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619011616
Entity Type Organization
Organization Name COUNTY OF SANTA CLARA
Other Organization Name DEPARTMENT OF ALCOHOL AND DRUG SERICES-SOUTH COUNTY CLINIC
Practice Address 90 Highland Ave
San Martin
CA 95046-9504
Mailing Address 976 Lenzen Ave
3rd Floor
San Jose
CA 95126-2737
Practice Telephone 4086862222
Mailing Telephone 4087925680
Mailing Fax Number 4089478702
Enumeration Date 2007-02-16
Last Update Date 2010-07-23
Authorized Official Name MR. ROBERT GARNER (DEPARTMENT DIRECTOR)
Authorized Official Telephone 4087925680
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA DRUG MEDI-CAL NUMBER 4394 01
CA STATE PROVIDER NUMBER 434394 01

Other Provider/Organization Names

Other Name Type Code
Department of Alcohol and Drug Serices-South County Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 90 HIGHLAND AVE
City SAN MARTIN
State CA
Zip Code 95046-9504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386606457 Julieta Dominguez-jones Family Medicine 90 Highland Ave, Primary Care Department, San Martin, CA 95046-9504 2006-04-04
1386663409 Leslie Ann De Montrichard Family Medicine 90 Highland Ave, Vhc San Martin Family Practice Clinic, San Martin, CA 95046-9504 2006-07-19
1821055427 Nubia Medina Family Medicine 90 Highland Ave, Vhc San Martin Family Practice Clinic, San Martin, CA 95046-9504 2006-04-27
1801853759 Elizabeth Ann Mendoza-levy Pediatrics 90 Highland Ave, Vhc San Martin Pediatrics Clinic, San Martin, CA 95046-9504 2006-04-26
1417912346 Philip Robert Letts Dentist 90 Highland Ave, Vhc San Martin Dental Clinic, San Martin, CA 95046-9504 2006-04-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780700815 Advent Group Ministries Community/Behavioral Health 1960 Church Ave, Gateway, San Martin, CA 95046 2007-03-21
1790866838 Rand S Barnard Internal Medicine 90 W. Highland Ave, So. Valley Internal Med, San Jose, CA 95046 2006-10-17
1013559970 Rafaela Francelia Brazil Behavior Technician 110 Roosevelt Ave, San Martin, CA 95046-9459 2019-10-11
1467688838 Jacqueline B Intoc Licensed Vocational Nurse 1255 Lions Peak Ln, San Martin, CA 95046-9478 2009-05-29
1417087370 David Edward Rios Social Worker 80 Highland Ave, San Martin, CA 95046-9504 2007-03-07
1932381290 Rosario P. Arellano Registered Nurse 80 Highland Ave, San Martin, CA 95046-9504 2007-11-28
1609058189 Belia Castillo Registered Nurse 80 Highland Ave, San Martin, CA 95046-9504 2007-11-27
1073795548 Conception Macias Registered Nurse 80 Highland Ave, San Martin, CA 95046-9504 2007-11-27
1285815902 Ann Estis Registered Nurse 80 Highland Ave, San Martin, CA 95046-9504 2007-11-21
1629259783 Susan Marie Deranleau-silveira Registered Nurse 80 Highland Ave, San Martin, CA 95046-9504 2007-11-16
Find all providers in zip 95046

Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083224141 Aegis Treatment Centers, LLC Clinic/Center 1450 Bessie Ave Ste B, Tracy, CA 95376-3456 2020-08-04
1093323222 City and County of San Francisco Clinic/Center 1001 Potrero Ave # Ward86, San Francisco, CA 94110-3518 2020-07-14
1548899644 Bella Team Ltd. Clinic/Center 2618 San Miguel Dr Ste 1288, Newport Beach, CA 92660-5437 2020-04-02
1386280899 Western Pacific Med-corp Clinic/Center 26921 Crown Valley Pkwy Ste 200, Mission Viejo, CA 92691-6501 2019-11-19
1518501527 Harmonic Solutions LLC Clinic/Center 1776 Ygnacio Valley Rd Ste 206, Walnut Creek, CA 94598-3125 2019-11-01
1326698887 Aegis Treatment Centers, LLC Clinic/Center 2107, 2109 & 2113 1st St, Eureka, CA 95501-0840 2019-09-17
1548819550 Aegis Treatment Centers, LLC Clinic/Center 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 2019-09-11
1306326699 Kristen Andree Rickard Clinic/Center 1153 Paradise Trail Rd, Chula Vista, CA 91915-2502 2018-08-16
1083141600 Baart Behavioral Health Services, Inc. Clinic/Center 1145 Market St Fl 10, San Francisco, CA 94103-1566 2017-05-13
1013448547 Coachella Valley Treatment Center Clinic/Center 81709 Dr Carreon Blvd Ste B1, Indio, CA 92201-5510 2017-03-26
Find all providers with the same taxonomy

Competitor

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City SAN MARTIN
Zip Code 95046

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Dataset Information

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.

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