Organization · Type 2 NPI

County of Santa Clara

Prison Health Clinic/Center · San Jose, CA

NPI number 1215796255 Active

Practice location

840 Guadalupe Pkwy
San Jose, CA 95110-1714

Call (408) 808-6200 Map

Mailing address

PO Box 103331
Pasadena, CA 91189-3331

Other practice locations

19050 Malaguerra Ave, Morgan Hill, CA 95037-9032 · (408) 201-7600

Specialties and licenses

Taxonomy	Code	License
Prison Health Clinic/Center Primary	261QP2400X	None listed

Prison Health Clinic/Center: Definition to come...

35 other providers at this address

Other prison health clinic/center providers in San Jose

County of Santa ClaraPrison Health Clinic/Center San Jose, CA NPI 1508625534

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NPI record

NPI: 1215796255
Entity type: Organization (Type 2)
Issued: Mar 13, 2024
Last updated: Mar 26, 2024
Status: Active
Subpart: Yes of County of Santa Clara

Other names

<unavail>
Guadalupe · doing business as
William F James Ranch · doing business as

Authorized official

Paul E Lorenz
Chief Executive Officer
(408) 885-4010

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215796255

County of Santa Clara's National Provider Identifier is 1215796255, issued on Mar 13, 2024. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in San Jose, CA. The record was last updated on Mar 26, 2024.