Silver Punzalan II Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

550000428 Issued in CA

Legal business name

SILVER PUNZALAN II INC

Doing business as

Silver Star Icf/DDN

Practice address

2928 Silver Est
San Jose, CA 95135-1234

Phone

(408) 592-6183

NPI assigned

Jul 12, 2008

Last updated

Jul 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fe O Punzalan, RNC,PHN,MSN

Title

Administrator

Phone

(408) 592-6183

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SILVER STAR ICF/DDN Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790949303. Details of each certification follow.

• CCN 55G596 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G596

Legal name

SILVER STAR ICF/DD-N

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

May 20, 2008

Last certification

Mar 7, 2025

Beds

6

Ownership / control type

Other (specify)

Facility address

2928 Silver Estates
San Jose, CA 95135

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

{
    "created_epoch": "1215820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215820800000",
    "number": "1790949303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 SILVER EST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351234",
            "telephone_number": "408-592-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 SILVER EST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351234",
            "telephone_number": "408-592-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER PUNZALAN II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-12",
        "last_updated": "2008-07-12",
        "status": "A",
        "authorized_official_last_name": "PUNZALAN",
        "authorized_official_first_name": "FE O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-592-6183",
        "authorized_official_credential": "RNC,PHN,MSN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "550000428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "55G596",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SILVER STAR ICF/DDN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Erin Silverman
• Lisa Silvers, CMT

• Intellectual Disabilities Intermediate Care Facility in San Jose, CA
• Providers in San Jose, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.