Organization Active NPI

O'Connor Hospital

  • General Acute Care Hospital
  • San Jose, CA
National Provider Identifier
1649381682
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
070000072 Issued in CA
Legal business name
O'CONNOR HOSPITAL
Practice address
2105 Forest Ave
San Jose, CA 95128-1425
Phone
(408) 947-2500
Fax
(650) 551-6691
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Mr. Jordan Herget
Title
President & Ceo
Phone
(408) 947-2515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 070000072 CA Primary

Addresses

Primary practice location

2105 Forest Ave
San Jose, CA 95128-1425

Mailing address

PO Box 742797
Los Angeles, CA 90074-2797
Phone (408) 947-2500

Other identifiers 4

IdentifierTypeStateIssuer
HSC00153HMedicaidCA
HSP40153HMedicaidCA
ZZR00153HMedicaidCA
CGP032465MedicaidCA

National Provider Directory

National Provider Directory

Locations

125 Ciro Ave
Ste 201
San Jose, CA 95128
Phone (408) 947-2500

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1649381682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742797",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742797",
            "telephone_number": "408-947-2500",
            "fax_number": "650-551-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 FOREST AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281425",
            "telephone_number": "408-947-2500",
            "fax_number": "650-551-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'CONNOR HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "HERGET",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "408-947-2515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "070000072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC00153H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40153H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR00153H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CGP032465",
            "state": "CA"
        }
    ],
    "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 Jan 23, 2017; 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.