Organization Active NPI

Dads-Evtr

  • Health Maintenance Organization
  • San Jose, CA
National Provider Identifier
1477679561
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
101YA0400X Issued in CA
Legal business name
DADS-EVTR
Practice address
2101 Alexian Dr Ste B
San Jose, CA 95116-1901
Phone
(408) 272-6524
Fax
(408) 272-6590
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Benjamin Paredes
Title
Rehabilitation Counselor
Phone
(408) 272-6581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 101YA0400X CA Primary

Addresses

Primary practice location

2101 Alexian Dr Ste B
San Jose, CA 95116-1901

Mailing address

2101 Alexian Dr Ste B
San Jose, CA 95116-1901
Phone (408) 272-6524

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477679561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ALEXIAN DR STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161901",
            "telephone_number": "408-272-6524",
            "fax_number": "408-272-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ALEXIAN DR STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161901",
            "telephone_number": "408-272-6524",
            "fax_number": "408-272-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADS-EVTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAREDES",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "REHABILITATION COUNSELOR",
        "authorized_official_telephone_number": "408-272-6581"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "101YA0400X",
            "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 Aug 22, 2020; 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.