County of Santa Clara
Organization Active NPI Federally Qualified Health Center (FQHC) · San Jose, CA
NPI 1043354020 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1043354020
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- COUNTY OF SANTA CLARA
- Practice address
- 1996 Lundy Ave
San Jose, CA 95131-1831 - Phone
- (408) 885-5000
- NPI assigned
- Feb 16, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- COUNTY OF SANTA CLARA
Authorized official
- Name
- Paul E Lorenz
- Title
- Chief Executive Officer
- Phone
- (408) 885-4010
Other NPIs on the same Medicare enrollment 2
Facilities with the same owner 23
Practitioners 1,276
-
Puya Abbassi, D.O.
-
Marwan Abdelrahim, M.D.
-
Noorhan Abdulhadi, PA-C
-
Freddy Abnousi, MD
-
Aya Abou-Nasr, MD
-
Aditi Abraham, MD
-
Susan M Abraham, M.D.
-
Dennis Wayne Adams Jr., M.D.
-
Gregg A Adams, MD
-
Syed Mansoor Afroz, M.D.
-
Taghogho Agarin, MD
-
Shelley Aggarwal, MD
-
Sahar Ahadi, M.D.
-
Scott Michael Ahlbrand, M.D.
-
Faisal Ahmed, MD
-
Mimi T Akaba, FNP
-
Zulaikha Akbery, FNP
-
Pydi Akella, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Federally qualified health center certification: CCN 051128
- Legal name
- COUNTY OF SANTA CLARA
- Doing business as
- SANTA CLARA VALLEY HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 18, 2008
- Last certification
- Jan 18, 2008
- Ownership / control type
- For profit – corporation
- Organization structure
- Other · Non-profit
- Incorporated
- Jul 16, 1966 in CA
- Enrollment address
- 1996 Lundy Ave
San Jose, CA 95131-1831
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Vinod Sharma |
Corporate Officer |
Dec 27, 2021 | |
| County of Santa Clara |
5% Or Greater Direct Ownership Interest | Nov 7, 2007 | 100% |
| Paul E Lorenz |
Corporate Officer |
Nov 19, 2012 | 100% |
| W-2 Managing Employee |
Nov 19, 2012 |
All facility ownership & control disclosures 23
| Facility | Type | Role | Since |
|---|---|---|---|
| Santa Clara Valley Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 30, 2007 |
| Santa Clara Valley Health and Hospital System |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Santa Clara Valley Health and Hospital System |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| O' Connor Hospital |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2019 |
| Santa Clara Health & Hospital System |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Santa Clara Health & Hospital System |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Aug 3, 2010 |
| Valley Health Center - Sunnyvale |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 16, 1966 |
| Santa Clara Health & Hospital System |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Santa Clara Valley Health and Hospice System |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2012 |
| Santa Clara Health & Hospital System |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Santa Clara Valley Health & Hospital System |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Valley Health Center Alexian |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Aug 19, 2010 Aug 19, 2010 |
| Valley Health Center at Downtown |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 28, 2016 |
| Santa Clara Valley Health & Hospital System |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2019 |
| Santa Clara Valley Health & Hospital System |
Federally qualified health center | 5% Or Greater Direct Ownership Interest | Jan 1, 1966 |
| Santa Clara Valley Health & Hospital System |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2023 |
| Santa Clara Valley Health & Hospital System |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jan 4, 2023 |
| Santa Clara Valley Health & Hospital System |
Federally qualified health center | 5% Or Greater Direct Ownership Interest | Dec 13, 2023 |
| Santa Clara Valley Health & Hospital System |
Federally qualified health center | 5% Or Greater Direct Ownership Interest | Jan 28, 2021 |
| Santa Clara Health &Hospital System |
Federally qualified health center | 5% Or Greater Direct Ownership Interest | Apr 16, 2024 |
| Santa Clara Valley Health & Hospital System |
Federally qualified health center | 5% Or Greater Direct Ownership Interest | Oct 18, 2021 |
| Santa Clara Valley Health & Hospital System |
Federally qualified health center | 5% Or Greater Direct Ownership Interest | Mar 18, 2024 |
| Santa Clara Health & Hospital System |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 22, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040113000757 | CA | Part B Supplier - Clinic/Group Practice | 1254244973 |
Receives reassigned benefits from 1,292 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: San Jose, CA |
| O20071119000713 | CA | Part a Provider - Federally Qualified Health Center (FQHC) | 1254244973 | Practice locations: San Jose, CA |
National Provider Directory
- Part of
- Scvhhsaep
Locations
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
1996 Lundy Ave
San Jose, CA 95131-1831
Mailing address
PO Box 103331
Pasadena, CA 91189-3331
Phone (669) 299-8165
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG5995 | Other | CA | RR MEDICARE |
| EXE70053F | Medicaid | CA |
Other names
- Valley Health Center Lundy
Other providers in San Jose, CA
- Marty Denae Couch
- Stephen Robert Coughlin
- Michael Brian Coulter
- Lauren Councill
- County of Santa Clara
- County of Santa Clara
- County of Santa Clara
- County of Santa Clara
- County of Santa Clara
- County of Santa Clara
All providers in San Jose, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.