TRI-COUNTY VASCULAR CARE, LLC (NPI# 1770951915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770951915 |
| Entity Type | Organization |
| Organization Name | TRI-COUNTY VASCULAR CARE, LLC |
| Practice Address |
393 Blossom Hill Rd San Jose CA 95123-1652 |
| Practice Telephone | 6504003637 |
| Mailing Telephone | 6504003637 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |
| Authorized Official Name | DR. MARK BURKE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6504003637 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
393 BLOSSOM HILL RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154392009 | Satellite Healthcare Inc | Clinic/Center | 393 Blossom Hill Rd, Ste 110, San Jose, CA 95123-1652 | 2006-01-30 |
| 1790178317 | Stephen Kenneth Boniface | Nurse Practitioner | 393 Blossom Hill Rd, Suite 390b, San Jose, CA 95123-1652 | 2015-03-05 |
| 1730525411 | James L Andrews M D A Professional Corporation | Clinic/Center | 393 Blossom Hill Rd, Suite 301, San Jose, CA 95123-1652 | 2013-05-21 |
| 1013352475 | Leah R Johnson | Pharmacist | 393 Blossom Hill Rd, San Jose, CA 95123-1652 | 2013-04-30 |
| 1790036101 | Spectrum Eye Physicians, A Medical Corporation | Ophthalmology | 393 Blossom Hill Rd, Suite 265, San Jose, CA 95123-1652 | 2012-09-25 |
| 1225339211 | C. Desmond Gunatilaka, M.d., Inc. | Clinic/Center | 393 Blossom Hill Rd, Suite 260 B, San Jose, CA 95123-1652 | 2010-11-08 |
| 1225366990 | Penelope Wells Schenkkan | Behavioral Analyst | 393 Blossom Hill Rd, San Jose, CA 95123-1652 | 2009-11-18 |
| 1841523230 | Tuan Thanh Pham | Student in an Organized Health Care Education/Training Program | 393 Blossom Hill Rd, Suite 201, San Jose, CA 95123-1652 | 2009-09-16 |
| 1992956650 | Mike M Chen | Dentist | 393 Blossom Hill Rd, Ste 150, San Jose, CA 95123-1652 | 2008-09-30 |
| 1437326378 | Terrence Raymond Dwyre | Family Medicine | 393 Blossom Hill Rd, Suite 210, San Jose, CA 95123-1652 | 2008-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
| Find all providers in zip 95123 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775267 | Ev Surgery Institute LLC | Clinic/Center | 105 N Bascom Ave Ste 105, San Jose, CA 95128-1811 | 2020-09-18 |
| 1588131395 | Baasc | Clinic/Center | 4215 Hamilton Ave, San Jose, CA 95130-1462 | 2018-10-30 |
| 1295213734 | Los Gatos Surgical Center, A California Limited Partnership | Clinic/Center | 2410 Samaritan Dr Ste 100, San Jose, CA 95124-3909 | 2018-08-06 |
| 1538618368 | Evergreen Surgery Center, LLC | Clinic/Center | 2365 Quimby Rd Ste 180, San Jose, CA 95122-1337 | 2016-09-21 |
| 1801269121 | Silver Creek Surgery Ctr LLC | Clinic/Center | 6010 Hellyer Ave, Suite 100, San Jose, CA 95138-1014 | 2015-11-09 |
| 1891837415 | Plastic & Reconstructive Surgery Center | Clinic/Center | 2581 Samaritan Dr Ste 102, San Jose, CA 95124-4112 | 2007-02-12 |
| 1508942996 | Physicians Surgery Services Lp | Clinic/Center | 235 Oconnor Dr, San Jose, CA 95128-1624 | 2006-10-27 |
| 1194712109 | Executive Endoscopy, Inc | Clinic/Center | 2100 Forest Ave, 109, San Jose, CA 95128-1422 | 2005-10-04 |
| 1568837060 | Prism | Clinic/Center | 6080 Hellyer Ave, Suite 100, San Jose, CA 95138-1052 | 2015-12-09 |
| 1750789814 | Trinity Surgery Center, LLC | Clinic/Center | 1610 Blossom Hill Rd, #13, San Jose, CA 95124-6349 | 2014-12-05 |
| 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.