NPIMap

Organization Active NPI

County of Santa Clara

Doing business as VHC at Tully BCP

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
National Provider Identifier
1730358979
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
070000085 Issued in CA
Legal business name
COUNTY OF SANTA CLARA
Doing business as
VHC at Tully BCP
Practice address
500 Tully Road
San Jose, CA 95111-1917
Phone
(408) 885-5000
NPI assigned
Feb 21, 2008
Last updated
Oct 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SANTA CLARAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Paul E Lorenz
Title
Chief Executive Officer
Phone
(408) 885-4010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 070000085 CA Primary

Addresses

Primary practice location

500 Tully Road
San Jose, CA 95111-1917

Mailing address

PO Box 103331
Pasadena, CA 91189-3331
Phone (669) 299-8165

Other identifiers 1

IdentifierTypeStateIssuer
BCP80070FMedicaidCA

Other names 1

  • VHC AT TULLY BCP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SC Vly HTLH Hosp Sys177 organizations share this tax ID, including this one
Part of
SC Vly HTLH Hosp Sys

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1730358979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103331",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911893331",
            "telephone_number": "669-299-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TULLY ROAD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111917",
            "telephone_number": "408-885-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SANTA CLARA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SANTA CLARA",
        "enumeration_date": "2008-02-21",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "LORENZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "408-885-4010"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "070000085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BCP80070F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VHC AT TULLY BCP",
            "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 Oct 13, 2023; 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.