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
- 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
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 DirectoryNPI 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.