Scvmc Physician Services

LBN: County Of Santa Clara
Scvmc Physician Services is an health care organization with primary practice located at 751 S Bascom Ave Physician Services, San Jose CA 95128-2604. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as the primary health care specialty. County Of Santa Clara can be contacted via phone (408) 885-5000, or through Banuelos, Alfonso F via phone 40888550000.

Contact Information

Primary practice address
751 S Bascom Ave Physician Services San Jose CA 95128-2604
Phone: (408) 885-5000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Banuelos, Alfonso F Doctor of Medicine (MD)
Phone: 40888550000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X

Profile Details

NPI number 1104014935
LBN Legal business name County Of Santa Clara
DBA Doing business as Scvmc Physician Services
Authorized official Banuelos, Alfonso F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 5th, 2007
Last updated Oct 5th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104014935 NPPES
California MEDICAID GR0076271
California MEDICAID GR0076270
California MEDICAID GR0076272

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