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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | DRUG MEDI-CAL NUMBER | 4394 | 01 |
CA | STATE PROVIDER NUMBER | 434394 | 01 |
Other Name | Type Code |
---|---|
Department of Alcohol and Drug Serices-South County Clinic | Doing Business As Name - Organization |
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 |
Street Address |
90 HIGHLAND AVE |
City | SAN MARTIN |
State | CA |
Zip Code | 95046-9504 |
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 |
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 Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
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] |
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 |
City | SAN MARTIN |
Zip Code | 95046 |
Please comment or provide details below to improve the information on COUNTY OF SANTA CLARA.
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.