NPIMap

Organization Active NPI

County of Santa Clara

  • Community/Behavioral Health Agency
  • San Jose, CA
National Provider Identifier
1205979499
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNTY OF SANTA CLARA
Practice address
1665 Woodridge Way
San Jose, CA 95127-4670
Phone
(408) 259-6366
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Garner
Title
Department Director
Phone
(408) 792-5680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1665 Woodridge Way
San Jose, CA 95127-4670

Mailing address

976 Lenzen Ave
3Rd Floor
San Jose, CA 95126-2737
Phone (408) 792-5680

Other identifiers 2

IdentifierTypeStateIssuer
434323OtherCASTATE PROVIDER NUMBER
4323OtherCADRUG MEDI-CAL NUMBER

Other names 1

  • Department of Alcohol and Drug Services-CFCS Ridgemont Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Scvhhsaep174 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1665 Woodridge Way
San Jose, CA 95127
Phone (408) 259-6366

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205979499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 LENZEN AVE",
            "address_2": "3RD FLOOR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262737",
            "telephone_number": "408-792-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 WOODRIDGE WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951274670",
            "telephone_number": "408-259-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SANTA CLARA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DEPARTMENT DIRECTOR",
        "authorized_official_telephone_number": "408-792-5680",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROVIDER NUMBER",
            "identifier": "434323",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG MEDI-CAL NUMBER",
            "identifier": "4323",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Alcohol and Drug Services-CFCS Ridgemont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.