County of Santa Clara

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

070000085 Issued in CA

Legal business name

COUNTY OF SANTA CLARA

Doing business as

SCVMC Renal Care Center

Practice address

2220 Moorpark Ave
Scvmc Renal Care Center
San Jose, CA 95128-2613

Phone

(408) 885-5000

NPI assigned

Nov 24, 2006

Last updated

Oct 11, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

COUNTY OF SANTA CLARAAs reported in NPPES

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

Authorized official

Name

Paul E Lorenz

Title

Chief Executive Officer

Phone

(408) 885-4010

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SCVMC Renal Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Santa Clara Valley Renal Care CenterCCN 052305

Overall star rating

4.0 of 5

Ownership

Non-profit

Certified

Aug 22, 1977

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

25

Part of

Santa Clara Cnty Health

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• County of Santa Clara

  dba VHC @ Milpitas Pharmacy

  • Pharmacy
  • Milpitas, CA
  • NPI 1255417374

  Member Of

  NPD member

All facility ownership & control disclosures 24

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Rohini Arramreddy, MD

  • Internal Medicine Physician
  • Palo Alto, CA
  • NPI 1417190059

  Dialysis facility

  Care Compare affiliation Name & address match
• Christina Leigh Bradshaw, MD

  • Nephrology Physician
  • Stanford, CA
  • NPI 1629343033

  Dialysis facility

  Care Compare affiliation Name & address match
• Belal Ishrat Hakim, M.D.

  • Nephrology Physician
  • Stanford, CA
  • NPI 1144681065

  Dialysis facility

  Care Compare affiliation Name & address match
• Jiann-Gang Frank Luo, MD

  • Nephrology Physician
  • San Jose, CA
  • NPI 1043403066

  Dialysis facility

  Care Compare affiliation Name & address match
• Nhat Minh Pham, MD

  • Nephrology Physician
  • San Jose, CA
  • NPI 1568408763

  Dialysis facility

  Care Compare affiliation Name & address match
• Maria Carmela Nazareno Rosales, M.D.

  • Nephrology Physician
  • San Jose, CA
  • NPI 1780706762

  Dialysis facility

  Care Compare affiliation Name & address match
• Anjali Bhatt Saxena, MD

  • Nephrology Physician
  • San Jose, CA
  • NPI 1164527826

  Dialysis facility

  Care Compare affiliation Name & address match
• Prameela Banoth, M.D

  • Nephrology Physician
  • Kansas City, MO
  • NPI 1720395171

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1972679850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103331",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911893331",
            "telephone_number": "669-299-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 MOORPARK AVE",
            "address_2": "SCVMC RENAL CARE CENTER",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282613",
            "telephone_number": "408-885-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SANTA CLARA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SANTA CLARA",
        "enumeration_date": "2006-11-24",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "LORENZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "408-885-4010"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "070000085",
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "070000085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CG5995",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40038F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCVMC Renal Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SCVMC Renal Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County of Santa Clara
• County of Santa Clara (Central Wellness and Benefits Center (CWBC))
• County of Santa Clara (Sunol Peak/Edge School)
• County of Santa Clara (County of Santa Clara Health System CalAIM)
• County of Santa Clara (Valley Health Center San Jose)
• County of Santa Clara (VHC at East BCP)
• County of Santa Clara (VHC at Moorpark BCP)
• County of Santa Clara (VHC at Alexian HAP)
• County of Santa Clara (Medical Mobile Unit-VHHP)
• County of Santa Clara Public Health Department

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.