NPIMap

Organization Active NPI

Gunderson High School

  • Community/Behavioral Health Agency
  • San Jose, CA
National Provider Identifier
1336596303
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GUNDERSON HIGH SCHOOL
Practice address
622 Gaundabert LN
San Jose, CA 95136-2830
Phone
(408) 287-6200
NPI assigned
May 19, 2016
Last updated
May 19, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
GARDNER FAMILY CARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Loren Gissible, LCSWNPI 1750459137
Title
Program Coordinator
Phone
(408) 287-6200

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

622 Gaundabert LN
San Jose, CA 95136-2830

Mailing address

160 E Virginia St Ste 280
San Jose, CA 95112-5817
Phone (408) 287-6200

National Provider Directory

National Provider Directory
Tax ID family
Almaden Elementary School4 organizations share this tax ID, including this one
Part of
Gardner Family Health

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1336596303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E VIRGINIA ST STE 280",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125817",
            "telephone_number": "408-287-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 GAUNDABERT LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951362830",
            "telephone_number": "408-287-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDERSON HIGH SCHOOL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARDNER FAMILY CARE CORPORATION",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "GISSIBLE",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "408-287-6200",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 19, 2016; 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.