NPIMap

Organization Active NPI

County of Santa Clara

  • Pharmacy
  • Milpitas, CA
National Provider Identifier
1255417374
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHE40474 Issued in CA
Legal business name
COUNTY OF SANTA CLARA
Practice address
143 N Main St
Suite 1038
Milpitas, CA 95035-4322
Phone
(408) 885-2300
Fax
(408) 885-5822
NPI assigned
Oct 31, 2006
Organization subpart
Yes
Parent organization
COUNTY OF SANTA CLARAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Dr. Alfonso F Banuelos Jr., MD
Title
Chief Medical Officer
Phone
(408) 885-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHE40474 CA Primary

Addresses

Primary practice location

143 N Main St
Suite 1038
Milpitas, CA 95035-4322

Mailing address

751 S Bascom Ave
Building W
San Jose, CA 95128-2604
Phone (408) 885-2300

Other identifiers 1

IdentifierTypeStateIssuer
PHA404740MedicaidCA

Other names 1

  • VHC @ Milpitas Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090202000601 CA Part B Supplier - Pharmacy 1254244973 17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sunnyvale, CA; San Jose, CA; Gilroy, CA; Milpitas, CA; Morgan Hill, CA; Palo Alto, CA
O20190516000654 CA DME Supplier - Pharmacy 1254244973 Practice locations: Milpitas, CA

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

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

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

143 N Main St
Ste 1038
Milpitas, CA 95035
Phone (408) 957-0919

143 N Main St
Milpitas, CA 95035
Phone (408) 885-1234

Ownership & related parties

All facility ownership & control disclosures 24

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Santa Clara Valley Medical CenterSan Jose, CA, CCN 050038 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 30, 2007
Santa Clara Valley Health and Hospital SystemSan Jose, CA, CCN 05T038 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Santa Clara Valley Health and Hospital SystemSan Jose, CA, CCN 05S038 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
O' Connor HospitalSan Jose, CA, CCN 555916 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2019
Santa Clara Health & Hospital SystemSan Jose, CA, CCN 551957 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Santa Clara Health & Hospital SystemMilpitas, CA, CCN 551958 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Aug 3, 2010
Valley Health Center - SunnyvaleSunnyvale, CA, CCN 051051 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 16, 1966
Santa Clara Health & Hospital SystemSan Jose, CA, CCN 051050 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Santa Clara Valley Health and Hospice SystemSan Jose, CA, CCN 051052 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2012
Santa Clara Valley HealthcareSan Jose, CA, CCN 051128 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Nov 7, 2007
Santa Clara Health & Hospital SystemGilroy, CA, CCN 051926 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Santa Clara Valley Health & Hospital SystemSan Jose, CA, CCN 051927 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Valley Health Center AlexianSan Jose, CA, CCN 551049 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Aug 19, 2010
Aug 19, 2010
Valley Health Center at DowntownSan Jose, CA, CCN 751863 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 28, 2016
Santa Clara Valley Health & Hospital SystemSan Jose, CA, CCN A01097 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2019
Santa Clara Valley Health & Hospital SystemSan Jose, CA, CCN A01143 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 1, 1966
Santa Clara Valley Health & Hospital SystemSan Jose, CA, CCN A01169 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2023
Santa Clara Valley Health & Hospital SystemSan Jose, CA, CCN A01168 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 4, 2023
Santa Clara Valley Health & Hospital SystemSan Jose, CA, CCN A01850 Federally qualified health center 5% Or Greater Direct Ownership Interest Dec 13, 2023
Santa Clara Valley Health & Hospital SystemSan Jose, CA, CCN A01868 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 28, 2021
Santa Clara Health &Hospital SystemPalo Alto, CA, CCN A01946 Federally qualified health center 5% Or Greater Direct Ownership Interest Apr 16, 2024
Santa Clara Valley Health & Hospital SystemSan Jose, CA, CCN A01922 Federally qualified health center 5% Or Greater Direct Ownership Interest Oct 18, 2021
Santa Clara Valley Health & Hospital SystemMorgan Hill, CA, CCN A01912 Federally qualified health center 5% Or Greater Direct Ownership Interest Mar 18, 2024
Santa Clara Health & Hospital SystemSan Jose, CA, CCN A11032 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 22, 2025

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1255417374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE",
            "address_2": "BUILDING W",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282604",
            "telephone_number": "408-885-2300",
            "fax_number": "408-885-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N MAIN ST",
            "address_2": "SUITE 1038",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950354322",
            "telephone_number": "408-885-2300",
            "fax_number": "408-885-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SANTA CLARA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SANTA CLARA",
        "enumeration_date": "2006-10-31",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "BANUELOS",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "408-885-4001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHE40474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA404740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VHC @ Milpitas Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.