NPIMap

Organization Active NPI

County of Santa Clara

Doing business as Youth Health Center Spark BCP

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
National Provider Identifier
1821875931
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COUNTY OF SANTA CLARA
Doing business as
Youth Health Center Spark BCP
Practice address
455 Oconnor Dr Ste 350
San Jose, CA 95128-1646
Phone
(408) 885-5000
NPI assigned
Sep 12, 2023
Last updated
Sep 12, 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 Sep 12, 2023

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

455 Oconnor Dr Ste 350
San Jose, CA 95128-1646

Mailing address

PO Box 888407
Los Angeles, CA 90088-8407

Other names 1

  • YOUTH HEALTH CENTER SPARK BCP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Santa Clara Cnty Health177 organizations share this tax ID, including this one
Part of
Santa Clara Cnty Health

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": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1821875931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888407",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900888407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR STE 350",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281646",
            "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": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "LORENZ",
        "authorized_official_first_name": "PAUL",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YOUTH HEALTH CENTER SPARK 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 Sep 12, 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.