NPIMap

Organization Active NPI

Planned Parenthood Mar Monte, Inc

  • Community Health Clinic/Center
  • San Jose, CA
National Provider Identifier
1043263189
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
070000101 Issued in CA
Legal business name
PLANNED PARENTHOOD MAR MONTE, INC
Practice address
1691 The Alameda
San Jose, CA 95126-2203
Phone
(408) 795-3600
Fax
(408) 971-6963
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Mr. Tom Motsiff, MHA,CMA
Title
Cfo
Phone
(408) 795-3707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 070000101 CA Primary
Non-Pharmacy Dispensing Site 332900000X CLN 436 CA

Addresses

Primary practice location

1691 The Alameda
San Jose, CA 95126-2203

Mailing address

1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 795-3600

Other identifiers 1

IdentifierTypeStateIssuer
ZZR11417FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301000438 CA Part B Supplier - Clinic/Group Practice 1456248954 Receives reassigned benefits from 197 practitioners
32 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salinas, CA; Yuba City, CA; San Jose, CA; Seaside, CA; Stockton, CA; Tracy, CA; Watsonville, CA; Woodland, CA…

Other NPIs on the same Medicare enrollment 26

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 26

National Provider Directory

National Provider Directory

Locations

9483 N Fort Washington Rd
Ste 10
Fresno, CA 93730

18550 De Paul Dr
#280
Morgan Hill, CA 95037

201 29th St
Ste B
Sacramento, CA 95816
Phone (916) 446-6921

5385 Franklin Blvd
Sacramento, CA 95820
Phone (916) 452-0247

5440 Thornwood Dr
San Jose, CA 95123
Phone (408) 281-9777

5440 Thornwood Dr
Ste G
San Jose, CA 95123
Phone (408) 281-9777

2470 Alvin Ave
Ste 80
San Jose, CA 95121
Phone (408) 274-7100

2470 Alvin Ave
Ste 60
San Jose, CA 95121
Phone (408) 274-7100

35 Baywood Ave
San Mateo, CA 94402
Phone (650) 235-7940

1119 Pacific Ave
Santa Cruz, CA 95060
Phone (831) 426-5550

678 N Wilson Way
Ste 25
Stockton, CA 95205
Phone (209) 466-2081

678 N Wilson Way
#G
Stockton, CA 95205
Phone (209) 466-2081

398 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 724-7525

2225 Civic Center Dr
Ste 230
North Las Vegas, NV 89030
Phone (408) 795-3600

Practitioners & affiliated clinicians

Practitioners 158

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

View all 158

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1043263189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-795-3600",
            "fax_number": "408-287-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-795-3600",
            "fax_number": "408-971-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD MAR MONTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "MOTSIFF",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "408-795-3707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA,CMA"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "070000101",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "CLN 436",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR11417F",
            "state": "CA"
        }
    ],
    "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 Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.