COUNTY OF SANTA CLARA NPI 1972679850

NPI Information

NPI: 1972679850
Provider Name: COUNTY OF SANTA CLARA

Doing Business As: SCVMC RENAL CARE CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2220 MOORPARK AVE
SCVMC RENAL CARE CENTER
SAN JOSE, CA
ZIP 95128
Phone: (408) 885-5000
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COUNTY OF SANTA CLARA is an end-stage renal disease (esrd) treatment clinic center in San Jose, CA. COUNTY OF SANTA CLARA NPI is 1972679850. The provider is registered as an organization entity type.
The provider Is Doing Business As Scvmc Renal Care Center.

The provider's business location address is:

2220 MOORPARK AVE
SCVMC RENAL CARE CENTER
SAN JOSE, CA
ZIP 95128-613
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 11/24/2006 and was last updated on 10/11/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center		070000085	CALIFORNIA	No
2	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	070000085	CALIFORNIA	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	CG5995	OTHER	CALIFORNIA	RR MEDICARE
2	HSP40038F	MEDICAID	CALIFORNIA

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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