Organization Active NPI

County of Santa Clara

Doing business as SCCMHD - Urgent Care Central

  • Urgent Care Clinic/Center
  • San Jose, CA
National Provider Identifier
1083875074
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
COUNTY OF SANTA CLARA
Doing business as
SCCMHD - Urgent Care Central
Practice address
2221 Enborg LN Ste 200
San Jose, CA 95128-2608
Phone
(408) 885-7855
NPI assigned
Jun 23, 2008
Last updated
Jun 29, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SANTA CLARAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Ms. Sherri Terao
Title
Interim Behavioral Health Director
Phone
(408) 885-5776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2221 Enborg LN Ste 200
San Jose, CA 95128-2608

Mailing address

828 S Bascom Ave
#280
San Jose, CA 95128-2651
Phone (408) 885-5784

Other names 1

  • SCCMHD - Urgent Care Central Doing business as

National Provider Directory

National Provider Directory
Part of
Central Methadone Clini

Locations

2221 Enborg Ln
Ste 200
San Jose, CA 95128
Phone (408) 885-7855

828 S Bascom Ave
Ste 280
San Jose, CA 95128

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1083875074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 S BASCOM AVE",
            "address_2": "#280",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282651",
            "telephone_number": "408-885-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 ENBORG LN STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282608",
            "telephone_number": "408-885-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SANTA CLARA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SANTA CLARA",
        "enumeration_date": "2008-06-23",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "TERAO",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "INTERIM BEHAVIORAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "408-885-5776",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCCMHD - Urgent Care Central",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SCCMHD - Urgent Care Central",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 29, 2020; 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.