Organization Active NPI

Santa Clara County

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1972235257
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SANTA CLARA COUNTY
Doing business as
Santa Clara County
Practice address
2101 Alexian Dr Ste 110
San Jose, CA 95116-1901
Phone
(408) 687-2583
NPI assigned
Jun 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Monique Grijalva
Title
Senior Health Representative
Phone
(408) 262-6588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2101 Alexian Dr Ste 110
San Jose, CA 95116-1901

Mailing address

2101 Alexian Dr Ste 110
San Jose, CA 95116-1901
Phone (408) 687-2583

Other identifiers 1

IdentifierTypeStateIssuer
ASW94680OtherCABBS

Other names 1

  • Santa Clara County Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL MyAvatar

National Provider Directory

National Provider Directory

Locations

2101 Alexian Dr
Ste 110
San Jose, CA 95116
Phone (408) 272-6518

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1972235257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ALEXIAN DR STE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161901",
            "telephone_number": "408-687-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ALEXIAN DR STE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161901",
            "telephone_number": "408-687-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "GRIJALVA",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "SENIOR HEALTH REPRESENTATIVE",
        "authorized_official_telephone_number": "408-262-6588"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "ASW94680",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MyAvatar",
            "affiliation": "N",
            "address_1": "2101 Alexian Dr Ste 110",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951161901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Santa Clara County",
            "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 Jun 27, 2022; 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.