NPIMap

Organization Active NPI

Santa Clara County CCS

  • Physical Therapy Clinic/Center
  • Palo Alto, CA
National Provider Identifier
1942375878
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SANTA CLARA COUNTY CCS
Practice address
638 Maybell Ave
Palo Alto, CA 94306-3815
Phone
(650) 845-3000
Fax
(650) 856-6935
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Emma Mendez, RN
Title
Administrator
Phone
(408) 793-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

638 Maybell Ave
Palo Alto, CA 94306-3815

Mailing address

720 Empey Way
San Jose, CA 95128-4710
Phone (408) 793-6200

Other identifiers 1

IdentifierTypeStateIssuer
CCS00036FMedicaidCA

Other names 1

  • JUANA BRIONES MTU Other name

National Provider Directory

National Provider Directory
Tax ID family
Scvhhsaep174 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations

638 Maybell Ave
Palo Alto, CA 94306
Phone (650) 845-3000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1942375878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 EMPEY WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284710",
            "telephone_number": "408-793-6200",
            "fax_number": "408-793-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 MAYBELL AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943063815",
            "telephone_number": "650-845-3000",
            "fax_number": "650-856-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARA COUNTY CCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-793-6200",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CCS00036F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUANA BRIONES MTU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.