NPIMap

Organization Active NPI

Verity Medical Foundation

  • Multi-Specialty Clinic/Center
  • San Jose, CA
National Provider Identifier
1326312067
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
VERITY MEDICAL FOUNDATION
Practice address
625 Lincoln Ave
San Jose, CA 95126-3705
Phone
(405) 278-3000
NPI assigned
Feb 27, 2012
Last updated
Apr 29, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
DAUGHTERS OF CHARITY HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Mr. Dean M Didech, M.D.,NPI 1417973942
Title
Chief Medical Officer
Phone
(408) 278-3193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

625 Lincoln Ave
San Jose, CA 95126-3705

Mailing address

400 Race St
San Jose, CA 95126-3518
Phone (408) 278-3000

Other names 1

  • DCHS Medical Foundation Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120425000408 CA Part B Supplier - Clinic/Group Practice 7416119110 Receives reassigned benefits from 134 practitioners
Practice locations: El Segundo, CA; Laguna Hills, CA; Los Angeles, CA; Lynwood, CA; Murrieta, CA; Newport Beach, CA; Orange, CA

National Provider Directory

National Provider Directory

Locations

2675 E Slauson Ave
Huntington Pk, CA 90255
Phone (213) 589-6681

23961 Calle de la Magdalena
Ste 130
Laguna Hills, CA 92653
Phone (949) 588-8700

966 S Western Ave
Ste 204
Los Angeles, CA 90006
Phone (323) 735-1300

25455 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 894-7056

1375 Sutter St
Ste 105
San Francisco, CA 94109
Phone (415) 379-9794

Practitioners & affiliated clinicians

Practitioners 138

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 138

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1326312067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RACE ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263518",
            "telephone_number": "408-278-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263705",
            "telephone_number": "405-278-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERITY MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAUGHTERS OF CHARITY HEALTH SYSTEM",
        "enumeration_date": "2012-02-27",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "DIDECH",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "408-278-3193",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DCHS Medical Foundation",
            "code": "4",
            "type": "Former Legal Business 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 Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.