Willow Glen Middle School

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WILLOW GLEN MIDDLE SCHOOL

Practice address

2105 Cottle Ave
San Jose, CA 95125-3504

Phone

(408) 287-6200

NPI assigned

May 19, 2016

Organization subpart

Yes

Parent organization

GARDNER FAMILY CARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Raymundo Espinoza

Title

Ceo

Phone

(408) 287-6200

Specialties & licenses 1

Addresses

Tax ID family

Willow Glen High2 organizations share this tax ID, including this one

Part of

Allen at Steinbeck

Other organizations with this tax ID 1

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

• Willow Glen High

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1194172122
  NPD tax ID

Locations

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1043667074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E VIRGINIA ST STE 280",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125817",
            "telephone_number": "408-287-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 COTTLE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253504",
            "telephone_number": "408-287-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW GLEN MIDDLE SCHOOL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARDNER FAMILY CARE CORPORATION",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "RAYMUNDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-287-6200"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Willoughby, R.N.
• Willow Anxiety and Ocd
• Willow Glen Chiropractic
• Willow Glen Dental Specialists
• Willow Glen High
• Willow Glen Optm Physical Therapy
• Willow Glen Primary Care Medicine
• Willow Home Health Care Services, Inc
• Kathleen Anne Wills, B.A.
• Kate Russo Wilmot, PT

• Community/Behavioral Health Agency in San Jose, CA
• Providers in San Jose, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.