NPIMap

Organization Active NPI

Tupaz Home # 12

  • Intellectual Disabilities Intermediate Care Facility
  • Saratoga, CA
National Provider Identifier
1992916399
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
LTC80372F Issued in CA
Legal business name
TUPAZ HOME # 12
Practice address
18241 Vanderbilt Dr
Saratoga, CA 95070-4718
Phone
(408) 866-4590
NPI assigned
May 25, 2007
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 LTC80372F CA Primary

Addresses

Primary practice location

18241 Vanderbilt Dr
Saratoga, CA 95070-4718

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G533

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TUPAZ HOME #12
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 3, 2006
Last certification
Oct 23, 2025
Beds
6
Ownership / control type
Private (proprietary)
Most recent change of ownership
Apr 12, 2008
Facility address
18241 Vanderbilt Drive
Saratoga, CA 95070

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1992916399",
    "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": "18241 VANDERBILT DR",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704718",
            "telephone_number": "408-866-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUPAZ HOME # 12",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "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": "CA",
            "license": "LTC80372F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

Verify at the official NPI Registry.