San Jose City College Student Health Services

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

SAN JOSE CITY COLLEGE STUDENT HEALTH SERVICES

Practice address

2100 Moorpark Ave
Sc109
San Jose, CA 95128-2723

Phone

(408) 288-3724

Fax

(408) 297-4865

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Janet Chang, RN

Title

Director of Health Services

Phone

(408) 288-3821

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Evergreen Valley Collegestudent Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• San Jose/Evergreen Community College District

  • Student Health Clinic/Center
  • San Jose, CA
  • NPI 1497975882
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Lyons Barzegar, R.N.

  • College Health Registered Nurse
  • San Jose, CA
  • NPI 1457720666
  NPD (past)
• Sharon Studdert, R.N.

  • College Health Registered Nurse
  • San Jose, CA
  • NPI 1174778815
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1396792875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MOORPARK AVE",
            "address_2": "SC109",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282723",
            "telephone_number": "408-288-3724",
            "fax_number": "408-297-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MOORPARK AVE",
            "address_2": "SC109",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282723",
            "telephone_number": "408-288-3724",
            "fax_number": "408-297-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE CITY COLLEGE STUDENT HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES",
        "authorized_official_telephone_number": "408-288-3821",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Maher Samuel, NP-RN
• Kaycee Kealoha Lokelani San Agustin-Nordmeier, PHARMD
• Stefanni San Agustin
• Rachael Anne San Filippo
• San Jose Care Hospice
• San Jose Conservation Corps
• San Jose Counseling Center: a Marriage Family Therapy Corporation
• San Jose Counseling, Inc.
• San Jose Dental Care
• San Jose Dental Surgery Center, Inc.

• Student Health Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Student Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.