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COUNTY OF SANTA CLARA NPI 1104014935


NPI Information

NPI: 1104014935
Provider Name: COUNTY OF SANTA CLARA

Doing Business As: SCVMC PHYSICIAN SERVICES

Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
751 S BASCOM AVE
PHYSICIAN SERVICES
SAN JOSE, CA
ZIP 95128
Phone: (408) 885-5000
Get Directions

COUNTY OF SANTA CLARA is an allergy allergy immunology in San Jose, CA. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee COUNTY OF SANTA CLARA NPI is 1104014935. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Scvmc Physician Services.

The provider's business location address is:

751 S BASCOM AVE
PHYSICIAN SERVICES
SAN JOSE, CA
ZIP 95128-604
Phone: (408) 885-5000

The provider's authorized official is Alfonso F Banuelos .
The authorized official title is Chief Medical Officer and has the following contact phone number 40888550000.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 10/5/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KA0200XAllergy & ImmunologyAllergyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0076270MEDICAIDCALIFORNIA
2GR0076271MEDICAIDCALIFORNIA
3GR0076272MEDICAIDCALIFORNIA

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: 4/28/2024

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