The Episcopal Diocese of El Camino Real

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

THE EPISCOPAL DIOCESE OF EL CAMINO REAL

Practice address

778 S Almaden Ave
San Jose, CA 95110-2919

Phone

(408) 292-3314

Fax

(408) 292-0728

NPI assigned

Jun 25, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence A. Robles

Title

Clinic Administrator

Phone

(408) 292-3314

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1033347224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 S ALMADEN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951102919",
            "telephone_number": "408-292-3314",
            "fax_number": "408-292-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 S ALMADEN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951102919",
            "telephone_number": "408-292-3314",
            "fax_number": "408-292-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EPISCOPAL DIOCESE OF EL CAMINO REAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "408-292-3314",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.