NPIMap

Organization Active NPI

Healthright 360

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Jose, CA
National Provider Identifier
1235615501
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HEALTHRIGHT 360
Practice address
1835 Cunningham Ave
San Jose, CA 95122-1712
Phone
(408) 347-5900
NPI assigned
Jul 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Vitka Eisen
Title
Ceo
Phone
(415) 762-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1835 Cunningham Ave
San Jose, CA 95122-1712

Mailing address

1563 Mission St FL 4
San Francisco, CA 94103-2592
Phone (415) 762-3700

Other names 1

  • AARS, OverFelt HS Other name

National Provider Directory

National Provider Directory
Tax ID family
Haight Ashbury Free Clinicsinc100 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

1835 Cunningham Ave
San Jose, CA 95122
Phone (408) 347-5900

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1235615501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 MISSION ST FL 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032592",
            "telephone_number": "415-762-3700",
            "fax_number": "415-865-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 CUNNINGHAM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221712",
            "telephone_number": "408-347-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHRIGHT 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "EISEN",
        "authorized_official_first_name": "VITKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-762-3700"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AARS, OverFelt HS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AARS, OverFelt HS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 28, 2021; 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.