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COUNTY OF SANTA CLARA NPI 1336135912


NPI Information

NPI: 1336135912
Provider Name: COUNTY OF SANTA CLARA

Doing Business As: VALLEY HEALTH CENTER AT MOORPARK-PUENTES

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2400 MOORPARK AVE
STE 100, 118, 204, 212, 220
SAN JOSE, CA
ZIP 95128
Phone: (408) 885-5000
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COUNTY OF SANTA CLARA is a federally qualified health center (fqhc) clinic center in San Jose, CA. COUNTY OF SANTA CLARA NPI is 1336135912. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Valley Health Center At Moorpark-puentes.

The provider's business location address is:

2400 MOORPARK AVE
STE 100, 118, 204, 212, 220
SAN JOSE, CA
ZIP 95128-623
Phone: (408) 885-5000

The provider's authorized official is Paul E Lorenz .
The authorized official title is Chief Executive Officer and has the following contact phone number (408) 885-4010.

The enumeration date for this NPI number is 9/20/2005 and was last updated on 10/13/2023.


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
1171M00000XCase Manager/Care CoordinatorNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)070000085CALIFORNIAYes

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
1BCP70534FMEDICAIDCALIFORNIA
2CG5995OTHERCALIFORNIARR MEDICARE
3FHC70534FMEDICAIDCALIFORNIA

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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