SARATOGA MEDICAL CENTER (NPI# 1912081548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912081548 |
| Entity Type | Organization |
| Organization Name | SARATOGA MEDICAL CENTER |
| Other Organization Name | SARATOGA MEDICAL CENTER |
| Practice Address |
1060 Saratoga Ave San Jose CA 95129-3402 |
| Practice Telephone | 4082436911 |
| Practice Fax Number | 4082436941 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | DIRENDIA SHACKELFORD (MANAGED CARE SPECIALIST) |
| Authorized Official Telephone | 8006540889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | G21069 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0504173 | 01 |
| Other Name | Type Code |
|---|---|
| SARATOGA MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669627428 | Saratoga Medical Center | Clinic/Center | 3434 Saratoga Blvd, Corpus Christi, TX 78415-5822 | 2008-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporation Entity | SARATOGA MEDICAL CENTER, INC. | 11094-D LEE HIGHWAY, SUITE 103 , FAIRFAX, VIRGINIA 22030 |
| Virginia Business Entity | SARATOGA MEDICAL CENTER, INC. | 11094 LEE HIGHWAY SUITE D-103, FAIRFAX, VA 22030 |
| Street Address |
1060 SARATOGA AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95129-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922053081 | Lawrence Hart Livingston | Emergency Medicine | 1060 Saratoga Ave, Ste 920, San Jose, CA 95129-3402 | 2006-05-24 |
| 1790861813 | Iva Sikirica Ilic | Family Medicine | 1060 Saratoga Ave, San Jose, CA 95129-3402 | 2006-10-31 |
| 1003999806 | Edward Man-yau Cheng | Family Medicine | 1060 Saratoga Ave, San Jose, CA 95129-3402 | 2006-10-23 |
| 1427143189 | Silvia C Pham | Emergency Medical Technician, Basic | 1060 Saratoga Ave, San Jose, CA 95129-3402 | 2006-10-04 |
| 1568473478 | Saratoga Medical Clinic Inc | Clinic/Center | 1060 Saratoga Ave, San Jose, CA 95129-3402 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528535176 | Sunlife Acupuncture Health Center Inc. | Acupuncturist | 6172 Bollinger Rd., San Jose, CA 95129 | 2018-10-31 |
| 1710472642 | Shen Zhang | Acupuncturist | 1072 S De Anza Blvd Ste A108, San Jose, CA 95129 | 2018-06-23 |
| 1023531217 | Rachana Vyas Dds Inc | Clinic/Center | 1002 S Deanza Blvd, #d, San Jose, CA 95129 | 2017-07-20 |
| 1477908119 | Emily O. Perrotta | Marriage & Family Therapist | 1745 Saratoga Ave #204, San Jose, CA 95129 | 2016-05-02 |
| 1306214325 | Amanda Montgomery | Psychologist | 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129 | 2015-09-08 |
| 1891065686 | Bobbie Edwards | Behavioral Analyst | 1479 Saratoga Ave, San Jose, CA 95129 | 2012-01-10 |
| 1659640753 | Gail Elizabeth Nabarrete | Social Worker | 780 Saratoga Ave, S310, San Jose, CA 95129 | 2011-12-19 |
| 1891063574 | Elizabeth Duell | Dentist | 4635 Piper Drive, San Jose, CA 95129 | 2011-12-08 |
| 1033486519 | Stephanie Truvonne Hawkins | Family Medicine | 9292 De Anza Blvd, Suite 101, San Jose, CA 95129 | 2011-11-28 |
| 1568607828 | Irina Vaynshteyn | Dentist | 1888 Saratoga Ave Ste 102, San Jose, CA 95129 | 2008-12-15 |
| Find all providers in zip 95129 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780026518 | San Jose Doctors On Duty | Non-Pharmacy Dispensing Site | 1910 N Capitol Ave, San Jose, CA 95132-1019 | 2013-07-22 |
| 1043263189 | Planned Parenthood Mar Monte, Inc | Non-Pharmacy Dispensing Site | 1691 The Alameda, San Jose, CA 95126-2203 | 2006-05-18 |
| 1689934473 | Nguyen Ky Dpm Inc | Non-Pharmacy Dispensing Site | 660 E Santa Clara St, San Jose, CA 95112-1931 | 2012-05-25 |
| 1821227000 | South Bay Sports and Preventive Medicine Associates, Inc. | Non-Pharmacy Dispensing Site | 455 Oconnor Drive, Suite 150, San Jose, CA 95128 | 2009-07-08 |
| 1811126097 | South Bay Sports and Preventive Medicine Associates, Inc. | Non-Pharmacy Dispensing Site | 455 Oconnor Drive, Suite 150, San Jose, CA 95128 | 2009-07-08 |
| 1265661441 | South Bay Sports and Preventive Medicine Associates, Inc. | Non-Pharmacy Dispensing Site | 455 Oconnor Drive, Suite 150, San Jose, CA 95128 | 2009-07-08 |
| 1043497266 | Navani Pain Management Inc. | Non-Pharmacy Dispensing Site | 2505 Samaritan Dr, Suite #601, San Jose, CA 95124-4006 | 2008-01-30 |
| 1316120173 | W Gordon Walker, Md | Non-Pharmacy Dispensing Site | 2505 Samaritan Dr, San Jose, CA 95124-4006 | 2007-12-14 |
| 1467635466 | Ronald C. Diebel, M.d. A Professional Corporation | Non-Pharmacy Dispensing Site | 251 Oconnor Dr, Suite 1, San Jose, CA 95128-1656 | 2007-12-12 |
| 1811194509 | Physicians Medical Group of San Jose, Inc. | Non-Pharmacy Dispensing Site | 2585 Samaritan Dr, 2nd Floor, San Jose, CA 95124-4107 | 2007-06-27 |
| 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.