NPIMap

Organization Active NPI

County of Santa Clara

Doing business as Valley Health Center Lundy

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
National Provider Identifier
1043354020
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COUNTY OF SANTA CLARA
Doing business as
Valley Health Center Lundy
Practice address
1996 Lundy Ave
San Jose, CA 95131-1831
Phone
(408) 885-5000
NPI assigned
Feb 16, 2007
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SANTA CLARAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Paul E Lorenz
Title
Chief Executive Officer
Phone
(408) 885-4010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

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 names 1

  • Valley Health Center Lundy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043354020. Details of each certification follow.

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
OtherNon-profit
Incorporated
Jul 16, 1966 in CA
Enrollment address
1996 Lundy Ave
San Jose, CA 95131-1831

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Part of
South County a T C

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Vinod Sharma Individual Corporate OfficerChief Financial Officer Dec 27, 2021
County of Santa Clara Organization, San Jose, CA 5% Or Greater Direct Ownership Interest Nov 7, 2007 100%
Paul E Lorenz Individual Corporate OfficerChief Executive Officer Nov 19, 2012 100%
W-2 Managing EmployeeChief Executive Officer Nov 19, 2012

All facility ownership & control disclosures 23

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Santa Clara Valley Medical CenterSan Jose, CA, CCN 050038 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 30, 2007
Santa Clara Valley Health and Hospital SystemSan Jose, CA, CCN 05T038 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Santa Clara Valley Health and Hospital SystemSan Jose, CA, CCN 05S038 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
O' Connor HospitalSan Jose, CA, CCN 555916 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2019
Santa Clara Health & Hospital SystemSan Jose, CA, CCN 551957 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Santa Clara Health & Hospital SystemMilpitas, CA, CCN 551958 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Aug 3, 2010
Valley Health Center - SunnyvaleSunnyvale, CA, CCN 051051 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 16, 1966
Santa Clara Health & Hospital SystemSan Jose, CA, CCN 051050 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Santa Clara Valley Health and Hospice SystemSan Jose, CA, CCN 051052 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2012
Santa Clara Health & Hospital SystemGilroy, CA, CCN 051926 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Santa Clara Valley Health & Hospital SystemSan Jose, CA, CCN 051927 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Valley Health Center AlexianSan Jose, CA, CCN 551049 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Aug 19, 2010
Aug 19, 2010
Valley Health Center at DowntownSan Jose, CA, CCN 751863 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 28, 2016
Santa Clara Valley Health & Hospital SystemSan Jose, CA, CCN A01097 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2019
Santa Clara Valley Health & Hospital SystemSan Jose, CA, CCN A01143 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 1, 1966
Santa Clara Valley Health & Hospital SystemSan Jose, CA, CCN A01169 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2023
Santa Clara Valley Health & Hospital SystemSan Jose, CA, CCN A01168 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 4, 2023
Santa Clara Valley Health & Hospital SystemSan Jose, CA, CCN A01850 Federally qualified health center 5% Or Greater Direct Ownership Interest Dec 13, 2023
Santa Clara Valley Health & Hospital SystemSan Jose, CA, CCN A01868 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 28, 2021
Santa Clara Health &Hospital SystemPalo Alto, CA, CCN A01946 Federally qualified health center 5% Or Greater Direct Ownership Interest Apr 16, 2024
Santa Clara Valley Health & Hospital SystemSan Jose, CA, CCN A01922 Federally qualified health center 5% Or Greater Direct Ownership Interest Oct 18, 2021
Santa Clara Valley Health & Hospital SystemMorgan Hill, CA, CCN A01912 Federally qualified health center 5% Or Greater Direct Ownership Interest Mar 18, 2024
Santa Clara Health & Hospital SystemSan Jose, CA, CCN A11032 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 22, 2025

Facilities with the same owner 23

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 23

Practitioners & affiliated clinicians

Practitioners 1,276

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,276

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1043354020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103331",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911893331",
            "telephone_number": "669-299-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 LUNDY AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311831",
            "telephone_number": "408-885-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SANTA CLARA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SANTA CLARA",
        "enumeration_date": "2007-02-16",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "LORENZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "408-885-4010"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Health Center Lundy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.