Active NPI
San Andreas Regional Center
- Case Management Agency
- Campbell, CA
National Provider Identifier
1790076552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Mountain View, CA
- NPI 1215234646
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.