Organization · Type 2 NPI

County of Santa Clara

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · San Jose, CA

NPI number 1972679850 Active

Practice location

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

Call (408) 885-5000 Map

Mailing address

PO Box 103331
Pasadena, CA 91189-3331

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	070000085 (CA)
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	070000085 (CA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

8 other providers at this address

Other end-stage renal disease (esrd) treatment clinic/center providers in San Jose

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NPI record

NPI: 1972679850
Entity type: Organization (Type 2)
Issued: Nov 24, 2006
Last updated: Oct 11, 2023
Status: Active
Subpart: Yes of County of Santa Clara

Other names

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Scvmc Renal Care Center · doing business as
Scvmc Renal Care Center · 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 1972679850

County of Santa Clara's National Provider Identifier is 1972679850, issued on Nov 24, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in San Jose, CA. The record was last updated on Oct 11, 2023.