Individual provider Active NPI

Mary Vivian M Aranda, BSN RN

  • General Practice Registered Nurse
  • San Jose, CA
National Provider Identifier
1447832175
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
637598 Issued in CA
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

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1588704449OtherCAHMO MEDICARE ADVANTAGE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
637598CAMDGerontology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Boundless Care, Inc. Case Management CurrentSince Apr 25, 2021 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.

Verify at the official NPI Registry.