COUNTY OF SANTA CLARA (NPI# 1689859894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689859894 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SANTA CLARA |
| Other Organization Name | PODIATRY PROFESSIONAL SERVICES |
| Practice Address |
751 S Bascom Ave San Jose CA 95128-2604 |
| Practice Telephone | 4088855000 |
| Mailing Telephone | 4088855000 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |
| Authorized Official Name | DR. ALFONSO F BANUELOS (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 40888550000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF SANTA CLARA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GRE001030 | 05 |
| Other Name | Type Code |
|---|---|
| Podiatry Professional Services | 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 |
751 S BASCOM AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396743217 | Ellen Perez Travis | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2005-07-13 |
| 1235738691 | Alina Bogdanovich | Registered Nurse | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2020-10-17 |
| 1255946380 | Kimberly Red Soria | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-09-15 |
| 1568072403 | Emily Win Hou | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-08-05 |
| 1649880063 | Katherine Ann Trescott | Speech-Language Pathologist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-08-01 |
| 1992320386 | Gino Dizon Legaspi | Physical Therapy Assistant | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-06-11 |
| 1215552732 | Emily Louise Masad | Physician Assistant | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2020-06-10 |
| 1790300341 | Laura Muzzatti | Physical Therapist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-06-09 |
| 1679195085 | Raymond Chao | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-05-08 |
| 1407476765 | Yoo Jung Kim | Student in an Organized Health Care Education/Training Program | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-04-16 |
| Find all providers in the same location | ||||
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639608896 | Foot & Ankle Care, Inc | Podiatrist | 100 Oconnor Dr Ste 9a, San Jose, CA 95128-1638 | 2017-06-09 |
| 1124112578 | Ann Marie Wotherspoon | Podiatrist | 1425 Fruitdale Ave., San Jose, CA 95128 | 2006-10-02 |
| 1750305868 | Christina Flores | Podiatrist | 3102 Story Rd, San Jose, CA 95127-3815 | 2006-07-26 |
| 1649236399 | Andrew Robert Harrison | Podiatrist | 4986 Cherry Ave, San Jose, CA 95118-2748 | 2006-04-21 |
| 1013901271 | Timothy C Ho | Podiatrist | 3150 Almaden Expy, Ste 231a, San Jose, CA 95118-1250 | 2005-09-02 |
| 1598760373 | Michael Alan Heisman | Podiatrist | 255 N White Rd Ste 200, San Jose, CA 95127-1966 | 2005-06-17 |
| 1255707766 | Steve Quang Huynh | Podiatrist | 200 Jose Figueres Ave Ste 260, San Jose, CA 95116-1555 | 2015-08-19 |
| 1780720375 | Christina Crum Rude | Podiatrist | 260 International Cir, San Jose, CA 95119-1130 | 2007-01-30 |
| 1174696041 | Alexander Louis Vago | Podiatrist | 4155 Moorpark Ave, 16, San Jose, CA 95117-1714 | 2006-11-16 |
| 1972682433 | Richard R Abe | Podiatrist | 280 N Jackson Ave, Ste A, San Jose, CA 95116-1607 | 2006-11-03 |
| 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.