Organization Active NPI

Excelsior Healthcare, Inc.

  • Chore Provider
  • San Jose, CA
National Provider Identifier
1760310866
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
Legal business name
EXCELSIOR HEALTHCARE, INC.
Practice address
5359 Birch Grove Dr
San Jose, CA 95123-1707
Phone
(408) 614-6649
NPI assigned
May 11, 2026
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Bernellet Taa, EXCELSIOR HEALTHCARE
Title
Ceo
Phone
(408) 614-6649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X NU Primary

Addresses

Primary practice location

5359 Birch Grove Dr
San Jose, CA 95123-1707

Mailing address

5359 Birch Grove Dr
San Jose, CA 95123-1707
Phone (408) 614-6649

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1760310866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5359 BIRCH GROVE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231707",
            "telephone_number": "408-614-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5359 BIRCH GROVE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231707",
            "telephone_number": "408-614-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "TAA",
        "authorized_official_first_name": "BERNELLET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-614-6649",
        "authorized_official_credential": "EXCELSIOR HEALTHCARE"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NU",
            "license": null,
            "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 May 11, 2026; 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.