PRISM NPI 1568837060

NPI Information

NPI: 1568837060
Provider Name: PRISM
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
6080 HELLYER AVE
SUITE 100
SAN JOSE, CA
ZIP 95138
Phone: (408) 440-0930
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PRISM is an ambulatory surgical clinic center in San Jose, CA. PRISM NPI is 1568837060. The provider is registered as an organization entity type.

The provider's business location address is:

6080 HELLYER AVE
SUITE 100
SAN JOSE, CA
ZIP 95138-052
Phone: (408) 440-0930
Fax: (408) 440-0389

The provider's authorized official is Brice William Blatz .
The authorized official title is Chief Executive and has the following contact phone number (408) 440-0930.

The enumeration date for this NPI number is 12/9/2015 and was last updated on 12/9/2015.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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

NPI Synchronization or Removal

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