NPIMap

Organization Active NPI

Path

  • Case Management Agency
  • San Jose, CA
National Provider Identifier
1003368994
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
1003223124 Issued in CA
Legal business name
PATH
Practice address
290 N 2ND Street
San Jose, CA 95112-1231
Phone
(408) 320-9035
NPI assigned
Oct 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
La Keishia Nicole Childers
Title
Sr. Director of Compliance & Qa
Phone
(323) 644-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1003223124 CA Primary

Addresses

Primary practice location

290 N 2ND Street
San Jose, CA 95112-1231

Mailing address

290 N 2ND Street
San Jose, CA 95112
Phone (408) 320-9035

National Provider Directory

National Provider Directory
Tax ID family
Path People Assisting the Homeless4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1003368994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 N 2ND STREET",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95112",
            "telephone_number": "408-320-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N 2ND STREET",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121231",
            "telephone_number": "408-320-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "LA KEISHIA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "SR. DIRECTOR OF COMPLIANCE & QA",
        "authorized_official_telephone_number": "323-644-2224"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "1003223124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.