Organization Active NPI

Kaiser Permanete Santa Clara

  • General Acute Care Hospital
  • Santa Clara, CA
National Provider Identifier
1124281100
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
XXXXXXXXXXXXXXXXXXX Issued in CA
Legal business name
KAISER PERMANETE SANTA CLARA
Practice address
710 Lawrence Expy
Gme Dept. 384
Santa Clara, CA 95051-5173
Phone
(408) 851-3841
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
John William Phillip, M.D.
Title
Resisent
Phone
(408) 851-7225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X XXXXXXXXXXXXXXXXXXX CA Primary

Addresses

Primary practice location

710 Lawrence Expy
Gme Dept. 384
Santa Clara, CA 95051-5173

Mailing address

710 Lawrence Expwy Gme
Dept 384
Santa Clara, CA 95051
Phone (408) 851-3841

National Provider Directory

National Provider Directory

Locations

710 Lawrence Expy
#384
Santa Clara, CA 95051
Phone (408) 851-3795

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1124281100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LAWRENCE EXPWY GME",
            "address_2": "DEPT 384",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95051",
            "telephone_number": "408-851-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LAWRENCE EXPY",
            "address_2": "GME DEPT. 384",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950515173",
            "telephone_number": "408-851-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANETE SANTA CLARA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "PHILLIP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "RESISENT",
        "authorized_official_telephone_number": "408-851-7225",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "XXXXXXXXXXXXXXXXXXX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.