Organization Active NPI

El Camino Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Jose, CA
National Provider Identifier
1619034105
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
070000660 Issued in CA
Legal business name
EL CAMINO HOSPITAL
Practice address
2240 Tully Rd
San Jose, CA 95122-1347
Phone
(650) 940-7000
NPI assigned
Jan 3, 2007
Last updated
Apr 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Ming-Rong Chen Woo
Title
Director Rev & Reimb
Phone
(650) 940-7247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 070000660 CA Primary

Addresses

Primary practice location

2240 Tully Rd
San Jose, CA 95122-1347

Mailing address

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 940-7000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1619034105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GRANT RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404302",
            "telephone_number": "650-940-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221347",
            "telephone_number": "650-940-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CAMINO HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "MING-RONG",
        "authorized_official_middle_name": "CHEN",
        "authorized_official_title_or_position": "DIRECTOR REV & REIMB",
        "authorized_official_telephone_number": "650-940-7247"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "070000660",
            "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 Apr 22, 2015; 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.