NPIMap

Organization Active NPI

County of Santa Clara

Doing business as VHC Sunnyvale- Medicare

  • Federally Qualified Health Center (FQHC)
  • Sunnyvale, CA
National Provider Identifier
1528053139
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
070000085 Issued in CA
Legal business name
COUNTY OF SANTA CLARA
Doing business as
VHC Sunnyvale- Medicare
Practice address
660 S Fair Oaks Ave
VHC Sunnyvale
Sunnyvale, CA 94086-7913
Phone
(408) 885-5000
NPI assigned
Sep 20, 2005
Last updated
Sep 19, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SANTA CLARAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Dr. Jeffrey L Arnold, MD
Title
Chief Medical Officer
Phone
(408) 885-4001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 070000085 CA Primary
Primary Care Clinic/Center 261QP2300X 070000085 CA

Addresses

Primary practice location

660 S Fair Oaks Ave
VHC Sunnyvale
Sunnyvale, CA 94086-7913

Mailing address

PO Box 742502
Scvhhs Patient Business Services
Los Angeles, CA 90074-2502
Phone (408) 885-7200

Other identifiers 2

IdentifierTypeStateIssuer
CG5995OtherCARR MEDICARE
FHC70546FMedicaidCA

Other names 1

  • VHC Sunnyvale- Medicare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040113000784 CA Part B Supplier - Clinic/Group Practice 1254244973 Receives reassigned benefits from 2,515 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Jose, CA; Sunnyvale, CA; Palo Alto, CA; Mountain View, CA; Morgan Hill, CA; Milpitas, CA; Gilroy, CA
O20060209000225 CA Part A Provider - Federally Qualified Health Center (FQHC) 1254244973 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sunnyvale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528053139. Details of each certification follow.

Federally qualified health center certification: CCN 051051

Legal name
COUNTY OF SANTA CLARA
Doing business as
VALLEY HEALTH CENTER - SUNNYVALE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 11, 2006
Last certification
May 11, 2006
Ownership / control type
Non-profit – corporation
Organization structure
GovernmentNon-profit
Incorporated
Jul 16, 1966 in CA
Enrollment address
660 S Fair Oaks Ave
Sunnyvale, CA 94086-7913

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory
Part of
Santa Clara Cnty Health

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Vinod Sharma Individual Corporate OfficerChief Financial Officer Dec 27, 2021
County of Santa Clara Organization, San Jose, CA 5% Or Greater Direct Ownership Interest Jul 16, 1966 100%
Paul E Lorenz Individual Corporate OfficerChief Executive Officer Nov 19, 2012
W-2 Managing Employee Nov 19, 2012

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1528053139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742502",
            "address_2": "SCVHHS PATIENT BUSINESS SERVICES",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742502",
            "telephone_number": "408-885-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S FAIR OAKS AVE",
            "address_2": "VHC SUNNYVALE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940867913",
            "telephone_number": "408-885-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SANTA CLARA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SANTA CLARA",
        "enumeration_date": "2005-09-20",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "408-885-4001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "070000085",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "070000085",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CG5995",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70546F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VHC Sunnyvale- Medicare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.