Active NPI
Mary Vivian M Aranda, BSN RN
- General Practice Registered Nurse
- San Jose, CA
National Provider Identifier
1447832175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 637598
- Practice address
- 5988 Silver Creek Valley Rd Ste 60
San Jose, CA 95138-1077 - Phone
- (408) 363-8900
- NPI assigned
- Apr 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 637598 | CA | |
| Case Management Registered Nurse | 163WC0400X | 637598 | CA | |
| Continence Care Registered Nurse | 163WC2100X | 637598 | CA | |
| Gerontology Registered Nurse | 163WG0600X | 637598 | CA | |
| Infusion Therapy Registered Nurse | 163WI0500X | 637598 | CA | |
| Wound Care Registered Nurse | 163WW0000X | 637598 | CA | |
| Ostomy Care Registered Nurse | 163WX1500X | 637598 | CA | |
| General Practice Registered Nurse | 163WG0000X | 637598 | CA | Primary |
Addresses
Primary practice location
5988 Silver Creek Valley Rd Ste 60
San Jose, CA 95138-1077
Mailing address
5508 Century Manor CT
San Jose, CA 95111-1808
Phone (408) 416-8846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588704449 | Other | CA | HMO MEDICARE ADVANTAGE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bci@boundlesscare.org | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 637598 | CA | MD | Gerontology Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boundless Care, Inc. | Case Management | Current | Accepting new patients |
Locations
5988 Silver Creek Valley Rd
Ste 60
San Jose, CA 95138
Phone (408) 217-0818
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1447832175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5508 CENTURY MANOR CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951111808",
"telephone_number": "408-416-8846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5988 SILVER CREEK VALLEY RD STE 60",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951381077",
"telephone_number": "408-363-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARANDA",
"first_name": "MARY VIVIAN",
"middle_name": "M",
"credential": "BSN RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-22",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "637598",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "637598",
"primary": false
},
{
"code": "163WC2100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continence Care",
"state": "CA",
"license": "637598",
"primary": false
},
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "CA",
"license": "637598",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "CA",
"license": "637598",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "CA",
"license": "637598",
"primary": false
},
{
"code": "163WX1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ostomy Care",
"state": "CA",
"license": "637598",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "CA",
"license": "637598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO MEDICARE ADVANTAGE",
"identifier": "1588704449",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bci@boundlesscare.org",
"affiliation": "N",
"endpointDescription": "Company's Email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Client's Data",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Communication between companies",
"address_1": "5988 Silver Creek Valley Rd Ste 60",
"city": "San Jose",
"state": "CA",
"country_code": "US",
"postal_code": "951381077",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 22, 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.