NPIMap

Organization Active NPI

Tupaz Home # 14

  • Intellectual Disabilities Intermediate Care Facility
  • San Jose, CA
National Provider Identifier
1912163031
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
TUPAZ HOME # 14
Practice address
14716 Union Ave
San Jose, CA 95124-3574
Phone
(408) 377-1622
NPI assigned
Jul 29, 2008
Last updated
Apr 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Authorized official

Name
Beebe Tupaz
Title
Owner
Phone
(408) 377-1622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

14716 Union Ave
San Jose, CA 95124-3574

Mailing address

2831 Cortina Way
Union City, CA 94587-1553
Phone (408) 377-1622

National Provider Directory

National Provider Directory
Tax ID family
Great Endeavors15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1912163031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 CORTINA WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871553",
            "telephone_number": "408-377-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14716 UNION AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243574",
            "telephone_number": "408-377-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUPAZ HOME # 14",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "TUPAZ",
        "authorized_official_first_name": "BEEBE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-377-1622"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 10, 2009; 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.