Saratoga Medical Center

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

G21069 Issued in CA

Legal business name

SARATOGA MEDICAL CENTER

Doing business as

Saratoga Medical Center

Practice address

1060 Saratoga Ave
San Jose, CA 95129-3402

Phone

(408) 243-6911

Fax

(408) 243-6941

NPI assigned

Oct 24, 2006

Last updated

Jun 20, 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

Direndia Shackelford

Title

Managed Care Specialist

Phone

(800) 654-0889

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SARATOGA MEDICAL CENTER Doing business as

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1912081548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 SARATOGA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 SARATOGA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293402",
            "telephone_number": "408-243-6911",
            "fax_number": "408-243-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "SHACKELFORD",
        "authorized_official_first_name": "DIRENDIA",
        "authorized_official_title_or_position": "MANAGED CARE SPECIALIST",
        "authorized_official_telephone_number": "800-654-0889"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "G21069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0504173",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SARATOGA MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Msalam M Sara, M.D.
• Vanessa Leanne Sarabia
• Amanpreet K Sarai, PHARMD
• Rasleen Kaur Saran
• Saratoga Center for Guidance/Growth Marriage/Family Counseling Inc
• Saratoga Medical Clinic Inc (Saratoga Medical Clinic)
• Saratoga Pharmacy LLC
• Saravi Medical Inc.
• Amruta Tryambak Sardeshpande
• Jasmin Sarellano

• Non-Pharmacy Dispensing Site in San Jose, CA
• Providers in San Jose, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.