Organization Active NPI

Santa Clara County Drug & Alcohol

  • Health Maintenance Organization
  • San Jose, CA
National Provider Identifier
1104094770
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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
Organization subpart
Yes
Parent organization
SANTA CLARA VALLEY HEALTH & HOPITAL SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

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

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.

Verify at the official NPI Registry.