COUNTY OF SANTA CLARA NPI 1912041922

NPI Information

NPI: 1912041922
Provider Name: COUNTY OF SANTA CLARA
Classification: Clinic/Center - 261QM2800X
Specialization: Methadone
Entity Type: Organization
Doing Business As: CENTRAL VALLEY CLINIC
CLIA Number: 05D2140852
Address: 2425 ENBORG LN
SAN JOSE, CA
ZIP 95128
Phone: (408) 885-5400

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NPI Details

COUNTY OF SANTA CLARA is a methadone clinic center in San Jose, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. COUNTY OF SANTA CLARA NPI is 1912041922. The provider is registered as an organization entity type.
The provider Is Doing Business As Central Valley Clinic.

The provider's business location address is:

2425 ENBORG LN
SAN JOSE, CA
ZIP 95128-648
Phone: (408) 885-5400

The provider's authorized official is Sherri Terao .
The authorized official title is Dir, Behavioral Health Svcs and has the following contact phone number (408) 885-5776.

The CLIA number assigned to this NPI record is 05D2140852 - other - methadone clinic with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)

The enumeration date for this NPI number is 2/16/2007 and was last updated on 11/25/2024.

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	251S00000X	Community/Behavioral Health				No
2	261QM2800X	Clinic/Center	Methadone			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	434397	OTHER	CALIFORNIA	STATE PROVIDER NUMBER
2	4397	OTHER	CALIFORNIA	DRUG MEDI-CAL NUMBER

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: 3/30/2025

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