Ultimate Care Center

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

549631 Issued in CA

Legal business name

ULTIMATE CARE CENTER

Practice address

101 Ciro Ave
San Jose, CA 95128

Phone

(408) 761-5847

NPI assigned

Nov 9, 2012

Organization subpart

No

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

Authorized official

Name

Barbara Lee Roth, REGISTERED NURSE

Title

President / Owner

Phone

(408) 761-5847

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1477807659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 HAMILTON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301462",
            "telephone_number": "408-761-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CIRO AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-761-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "408-761-5847",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "549631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.