Organization Active NPI

Splendor Health Center

  • Health Maintenance Organization
  • San Jose, CA
National Provider Identifier
1548719982
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
AC15174 Issued in CA
Legal business name
SPLENDOR HEALTH CENTER
Practice address
4155 Moorpark Ave Ste 11
San Jose, CA 95117-1714
Phone
(408) 821-8827
NPI assigned
Sep 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Mr. Lawrence Mo, L. AC.
Title
VP
Phone
(408) 821-8827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X AC15174 CA Primary

Addresses

Primary practice location

4155 Moorpark Ave Ste 11
San Jose, CA 95117-1714

Mailing address

4155 Moorpark Ave Ste 11
San Jose, CA 95117-1714
Phone (408) 821-8827

National Provider Directory

National Provider Directory
Tax ID family
Splendor Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1548719982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 MOORPARK AVE STE 11",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171714",
            "telephone_number": "408-821-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 MOORPARK AVE STE 11",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171714",
            "telephone_number": "408-821-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPLENDOR HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "MO",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "408-821-8827",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L. AC."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "AC15174",
            "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 Sep 27, 2016; 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.