Organization Active NPI

Children'S Health Care

  • Community/Behavioral Health Agency
  • Santa Clara, CA
National Provider Identifier
1902270002
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHILDREN'S HEALTH CARE
Practice address
4176 Lick Mill Blvd
Santa Clara, CA 95054-3585
Phone
(650) 688-3602
NPI assigned
Nov 30, 2015
Organization subpart
Yes
Parent organization
CHILDREN'S HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Terry Boyle
Title
Cfo / Coo
Phone
(650) 688-3602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4176 Lick Mill Blvd
Santa Clara, CA 95054-3585

Mailing address

650 Clark Way
Palo Alto, CA 94304-2300
Phone (650) 688-3602

National Provider Directory

National Provider Directory
Part of
Children'S Health Care

Locations

4176 Lick Mill Blvd
Santa Clara, CA 95054
Phone (650) 688-3602

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1902270002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CLARK WAY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943042300",
            "telephone_number": "650-688-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4176 LICK MILL BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950543585",
            "telephone_number": "650-688-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HEALTHCARE",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CFO / COO",
        "authorized_official_telephone_number": "650-688-3602"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.