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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CLYDE ELLIS VIRGES CADC II1953
NPI 1134428162
Counselor - Addiction (Substance Use Disorder) in San Jose, CA

Active since March 16, 2011
614 TULLY RD, SAN JOSE, CA 95111(408) 977-1591(408) 977-1136 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Clyde Ellis Virges Cadc Ii1953 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLYDE ELLIS VIRGES CADC II1953 (NPI 1134428162) is an individual addiction (substance use disorder) provider in San Jose, California, licensed in California (E0312796) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1134428162
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCLYDE ELLIS VIRGESCredential: CADC II1953
Location Address614 TULLY RDSan Jose, CA 95111-1048
Mailing Address614 Tully RdSan Jose, CA 95111-1048 · (408) 977-1591 · Fax (408) 977-1136
Phone(408) 977-1591
Fax(408) 977-1136
Sole ProprietorYes
Enumeration DateMarch 16, 2011
Last NPPES UpdateSeptember 29, 2026
✔ NPI 1134428162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · E0312796
614 TULLY RD, San Jose, CA 95111
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS SALLY AGUILAR BA
Counselor (Addiction (Substance Use Disorder))
614 TULLY RD
SAN JOSE, CA 95111
Santa Clara County (408) 977-1591
RITHA CANALES ROSSI LCSW
Social Worker (Clinical)
614 TULLY RD
SAN JOSE, CA 95111
Santa Clara County (408) 494-1561
CINDY LA
Social Worker
614 TULLY RD
SAN JOSE, CA 95111
Santa Clara County (408) 494-1561
OLGA BURCH RN
Registered Nurse (Case Management)
614 TULLY RD
SAN JOSE, CA 95111
Santa Clara County (408) 494-1500
MS. JACQUELINE TAMMY MAC R.N.
Registered Nurse (Case Management)
614 TULLY RD
SAN JOSE, CA 95111
Santa Clara County (408) 494-1542
MARIA ESTELA LARA
Counselor (Addiction (Substance Use Disorder))
614 TULLY RD
SAN JOSE, CA 95111
Santa Clara County (408) 977-1591
MALIKA-CONNIE ANCHETA
Registered Nurse (Case Management)
614 TULLY RD
SAN JOSE, CA 95111
Santa Clara County (408) 494-1538
MS. JANET KOHL R.N.
Registered Nurse (Case Management)
614 TULLY RD
SAN JOSE, CA 95111
Santa Clara County (408) 494-7443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clyde Virges's NPI number?

The NPI number for Clyde Virges is 1134428162. It was assigned to this individual provider in the NPPES registry on March 16, 2011.

Where is Clyde Virges located?

Clyde Virges practices at 614 Tully Rd, San Jose, CA 95111. The listed phone number is (408) 977-1591.

What is Clyde Virges's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Clyde Virges was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.