NPIMap

Organization Active NPI

South Valley Resources, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Santa Clara, CA
National Provider Identifier
1043487127
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
SOUTH VALLEY RESOURCES, INC.
Practice address
3779 De la Cruz Blvd
Santa Clara, CA 95054-2114
Phone
(408) 988-1073
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Brian Adams
Title
Ceo/Administrative
Phone
(408) 847-9738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

3779 De la Cruz Blvd
Santa Clara, CA 95054-2114

Mailing address

5810 Obata Way Ste 1
Gilroy, CA 95020-7039
Phone (408) 847-9738

Other identifiers 1

IdentifierTypeStateIssuer
05G449MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
South Valley Resources Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1043487127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 OBATA WAY STE 1",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207039",
            "telephone_number": "408-847-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3779 DE LA CRUZ BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542114",
            "telephone_number": "408-988-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO/ADMINISTRATIVE",
        "authorized_official_telephone_number": "408-847-9738",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05G449",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.