Organization Active NPI

San Andreas Regional Center

  • Case Management Agency
  • Campbell, CA
National Provider Identifier
1790076552
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SAN ANDREAS REGIONAL CENTER
Practice address
300 Orchard City Drive
Suite 170
Campbell, CA 95008
Phone
(408) 374-9960
NPI assigned
Apr 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Ms. Marilyn Pollard
Title
QMRP
Phone
(408) 374-9960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

300 Orchard City Drive
Suite 170
Campbell, CA 95008

Mailing address

300 Orchard City Dr
Suite 170
Campbell, CA 95008-2932
Phone (408) 374-9960

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1790076552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ORCHARD CITY DR",
            "address_2": "SUITE 170",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082932",
            "telephone_number": "408-374-9960",
            "fax_number": "408-379-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ORCHARD CITY DRIVE",
            "address_2": "SUITE 170",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "95008",
            "telephone_number": "408-374-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANDREAS REGIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "QMRP",
        "authorized_official_telephone_number": "408-374-9960",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.