VA PALO ALTO HEALTHCARE SYSTEM
NPI 1003206244
Clinic/Center - VA in San Jose, CA

NPI Status: Active since January 26, 2015

Contact Information

80 GREAT OAKS BLVD
SAN JOSE, CA
ZIP 95119
Phone: (408) 363-3000

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  • Organization
  • Clinic/Center
  • VA
  • CLIA Number: 05D0988230
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 05-22-2026

About VA PALO ALTO HEALTHCARE SYSTEM

This page provides the complete NPI Profile along with additional information for Va Palo Alto Healthcare System, a provider established in San Jose, California operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1003206244 assigned on January 2015. The practitioner's primary taxonomy code is 261QV0200X with license number 3033 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Pat Montgomery (Assistant Chief Of Audiology)

NPI
1003206244
Provider Name
VA PALO ALTO HEALTHCARE SYSTEM
Entity Type
Organization
Location Address
80 GREAT OAKS BLVD SAN JOSE, CA 95119
Location Phone
(408) 363-3000
Mailing Address
2521 211TH AVE E LAKE TAPPS, WA 98391
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2015
Last Update Date
01-26-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center VA

Taxonomy Code
261QV0200X
Type
Ambulatory Health Care Facilities
License No.
3033
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAT MONTGOMERY

Authorized Official Title
ASSISTANT CHIEF OF AUDIOLOGY
Authorized Official Phone
(650) 493-5000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0988230
Facility Type
Hospital
Certificate Effective Date
June 22, 2001
Certificate Expiration Date
May 22, 2026
Laboratory Director
KRISTIN JENSEN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Va Palo Alto Healthcare System on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003206244, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 4 + 0 + 1 + 2 + 2 + 8 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1003206244.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Gerontology)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Nurse Practitioner (Gerontology)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Psychiatry & Neurology (Psychiatry)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Psychiatry & Neurology (Psychiatry)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Nurse Practitioner (Adult Health)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Registered Nurse (Psychiatric/Mental Health, Adult)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Internal Medicine (Cardiovascular Disease)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Social Worker (Clinical)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Psychiatry & Neurology (Psychiatry)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Dietitian, Registered
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Internal Medicine
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Family Medicine
80 GREAT OAKS BLVD, VA SAN JOSE CLINIC
SAN JOSE, CA 95119
Dermatology
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Social Worker (Clinical)
80 GREAT OAKS BLVD, VA PALO ALTO HEALTH CARE SYSTEM
SAN JOSE, CA 95119
Internal Medicine
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Internal Medicine
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Internal Medicine
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Social Worker
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Clinical Neuropsychologist
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Social Worker (Clinical)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003206244, enumerated as an "organization" on January 26, 2015.

The provider is located at 80 GREAT OAKS BLVD SAN JOSE, CA 95119 and the phone number is (408) 363-3000.

Clinic/Center with taxonomy code 261QV0200X and a focus in VA.