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VA PALO ALTO HEALTHCARE SYSTEM NPI 1003206244

NPI Profile

NPI: 1003206244
Provider Name: VA PALO ALTO HEALTHCARE SYSTEM
Classification: Clinic/Center - 261QV0200X
Entity Type: Organization

Specialization: VA

CLIA Number: 05D0988233

Address:
80 GREAT OAKS BLVD
SAN JOSE, CA
ZIP 95119
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Phone: (408) 363-3000

VA PALO ALTO HEALTHCARE SYSTEM is a va cliniccenter in San Jose, CA. VA PALO ALTO HEALTHCARE SYSTEM NPI is 1003206244. The provider is registered as an organization entity type.

The provider's business location address is:

80 GREAT OAKS BLVD
SAN JOSE, CA
ZIP 95119-310
Phone: (408) 363-3000

The provider's authorized official is Pat Montgomery .
The authorized official title is Assistant Chief Of Audiology and has the following contact phone number (650) 493-5000.

The CLIA number assigned to this NPI record is 05D0988233 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/26/2015 and was last updated on 1/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QV0200XClinic/CenterVA3033CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/4/2020

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