Healthright 360

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

HEALTHRIGHT 360

Practice address

3300 Quimby Rd
San Jose, CA 95148-3122

Phone

(408) 271-3900

Fax

(408) 271-3909

NPI assigned

Jan 9, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Vitka Eisen

Title

Chief Executive Officer

Phone

(415) 762-1558

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AARS, Evergreen Valley High School Doing business as

Locations

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1083984959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032417",
            "telephone_number": "415-762-3712",
            "fax_number": "415-865-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 QUIMBY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951483122",
            "telephone_number": "408-271-3900",
            "fax_number": "408-271-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHRIGHT 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "EISEN",
        "authorized_official_first_name": "VITKA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "415-762-1558",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8395",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AARS, Evergreen Valley High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Healthier Kids Foundation
• Healthright 360
• Healthright 360
• Healthright 360
• Healthright 360
• Healthright 360
• Healthright 360
• Healthright 360
• Healthright 360
• Healthright 360

• Substance Use Disorder Rehabilitation Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.