Active NPI
Santa Clara County Drug & Alcohol
- Health Maintenance Organization
- San Jose, CA
National Provider Identifier
1104094770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- SANTA CLARA COUNTY DRUG & ALCOHOL
- Practice address
- 2425 Enborg Lane
San Jose, CA 95128 - Phone
- (408) 885-3406
- NPI assigned
- Feb 15, 2008
- Last updated
- Feb 15, 2008
- Organization subpart
- Yes
- Parent organization
- SANTA CLARA VALLEY HEALTH & HOPITAL SYSTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Frank William Barker, CADC II
- Title
- Counselor
- Phone
- (408) 885-3406
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | CA | Primary | |
| Point of Service | 305S00000X | CA | ||
| Point of Service | 305S00000X | N4342331 | CA |
Addresses
Primary practice location
2425 Enborg Lane
San Jose, CA 95128
Mailing address
2425 Enborg Lane
San Jose, CA 95128
Phone (408) 885-3406
National Provider Directory
National Provider DirectoryLocations
2425 Enborg Ln
San Jose, CA 95128
Phone (408) 885-5400
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- San Jose, CA
- NPI 1275959819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203033600000",
"number": "1104094770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 ENBORG LANE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95128",
"telephone_number": "408-885-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 ENBORG LANE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95128",
"telephone_number": "408-885-3406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA CLARA COUNTY DRUG & ALCOHOL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SANTA CLARA VALLEY HEALTH & HOPITAL SYSTEM",
"enumeration_date": "2008-02-15",
"last_updated": "2008-02-15",
"status": "A",
"authorized_official_last_name": "BARKER",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "408-885-3406",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CADC II"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "CA",
"license": "N4342331",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
- Santa Clara County
- Santa Clara County
- Santa Clara County CCS
- Santa Clara County CCS
- Santa Clara County Dads
- Santa Clara County Drug and Alchohol Services
- Santa Clara County Health Authority (Santa Clara Family Health Plan)
- Santa Clara County Mental Health
- Santa Clara County Mental Health
- Santa Clara County Mental Health Department
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.