NPIMap

Organization Active NPI

Longspringhealthcenter

  • Clinic/Center
  • San Jose, CA
National Provider Identifier
1629523543
Registry record updated Aug 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
15474 Issued in CA
Legal business name
LONGSPRINGHEALTHCENTER
Practice address
1189 S de Anza Blvd Ste B
San Jose, CA 95129-3662
Phone
(408) 505-9485
NPI assigned
Aug 21, 2016
Last updated
Aug 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2016

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

Authorized official

Name
Sen Wang, LACNPI 1396185245
Title
Owner
Phone
(408) 505-9485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 15474 CA Primary

Addresses

Primary practice location

1189 S de Anza Blvd Ste B
San Jose, CA 95129-3662

Mailing address

1643 Lorient Ter
San Jose, CA 95133-1515
Phone (408) 505-9485

National Provider Directory

National Provider Directory

Locations

1189 S De Anza Blvd
Ste B
San Jose, CA 95129
Phone (408) 505-9485

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471737600000",
    "number": "1629523543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 LORIENT TER",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331515",
            "telephone_number": "408-505-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 S DE ANZA BLVD STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293662",
            "telephone_number": "408-505-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGSPRINGHEALTHCENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-21",
        "last_updated": "2016-08-21",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-505-9485",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "15474",
            "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 21, 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.