NPIMap

Organization Active NPI

Good Samaritan Hospital, L.P.

  • Psychiatric Hospital Unit
  • San Jose, CA
National Provider Identifier
1720032790
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
GOOD SAMARITAN HOSPITAL, L.P.
Doing business as
GOOD SAMARITAN HOSPITAL
Practice address
2425 Samaritan Dr
San Jose, CA 95124-3908
Phone
(408) 559-2011
Fax
(408) 559-2662
NPI assigned
May 22, 2006
Organization subpart
Yes
Parent organization
GOOD SAMARITAN HOSPITAL, L.P.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Jay Graham
Title
Cfo
Phone
(408) 559-2458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

2425 Samaritan Dr
San Jose, CA 95124-3908

Mailing address

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

Other identifiers 1

IdentifierTypeStateIssuer
HSM00380IMedicaidCA

Other names 1

  • GOOD SAMARITAN HOSPITAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Good Samaritan Hospital6 organizations share this tax ID, including this one
Part of
Good Samaritan Hospital

Other organizations with this tax ID 5

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1720032790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243908",
            "telephone_number": "408-559-2011",
            "fax_number": "408-559-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243908",
            "telephone_number": "408-559-2011",
            "fax_number": "408-559-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL, L.P.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SAMARITAN HOSPITAL, L.P.",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "408-559-2458"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSM00380I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD SAMARITAN HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GOOD SAMARITAN HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 10, 2020; 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.