Evergreen Valley Collegestudent Health Services

LBN: San Jose/Evergreen Community College District
Evergreen Valley Collegestudent Health Services is an health care organization with primary practice located at 3095 Yerba Buena Rd , San Jose CA 95135-1513. The organization recently has only one registered license in Ambulatory Health Care Facilities / Student Health, which is considered as the primary health care specialty. San Jose/Evergreen Community College District can be contacted via phone (408) 270-6480, or through Assadi, Janice via phone (408) 274-7900.

Contact Information

Primary practice address
3095 Yerba Buena Rd San Jose CA 95135-1513
Fax: (408) 532-1831
Website:
Authorized official contact:
Name: Assadi, Janice Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Student Health 261QS1000X EXE70004F California

Profile Details

NPI number 1497975882
LBN Legal business name San Jose/Evergreen Community College District
DBA Doing business as Evergreen Valley Collegestudent Health Services
Authorized official Assadi, Janice Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Dec 18th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497975882 NPPES
California MEDICAID EXE70004F

Popular Providers