Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
EL CAMINO HEALTH MEDICAL NETWORK, LLC
Complete NPI Record 1164880761
Clinic/Center - Multi-Specialty in San Jose, CA
Active since February 10, 2016
Complete NPI Dataset
This page contains the complete raw NPPES record for El Camino Health Medical Network, Llc (NPI 1164880761), a clinic/center organization in San Jose, CA. All 33 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1164880761 Field 1/33
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/33
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/33
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: EL CAMINO HEALTH MEDICAL NETWORK, LLC Field 4/33
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: Not available Field 5/33
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 6 Field 6/33
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 973 UNIVERSITY AVE Field 7/33
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: LOS GATOS Field 8/33
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CA Field 9/33
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 950327636 Field 10/33
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/33
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 4088713200 Field 12/33
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 6504481431 Field 13/33
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 828 S WINCHESTER BLVD Field 14/33
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: SAN JOSE Field 15/33
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CA Field 16/33
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 951282930 Field 17/33
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 18/33
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 4088713400 Field 19/33
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 4088663999 Field 20/33
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: MUSTER Field 23/33
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: ALAN Field 24/33
- The first name of the authorized official.
- Authorized Official Title or Position: PRESIDENT Field 25/33
- The title or position of the authorized official.
- Authorized Official Telephone Number: 4088713200 Field 26/33
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261QU0200X Field 27/33
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 28/33
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 261QM1300X Field 29/33
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 30/33
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 31/33
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Authorized Official Credential Text: MD Field 32/33
- The professional credential(s) of the authorized official listed on the provider's NPI record. Examples include MD (Doctor of Medicine), DO (Doctor of Osteopathy), RN (Registered Nurse), DDS (Doctor of Dental Surgery), PhD, or other recognized designations that reflect the official's qualifications.
Other Organization Names 1
Additional business and trade names this provider has on file with the NPPES registry.
Silicon Valley Medical Development, LLC Former Legal Business Name
Name 1/1Former Legal Business Name: A previous registered legal name once used by an organization that has since been changed or retired.
Secondary Practice Locations 31
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
555 Knowles Dr Ste 200
Location 1/31Los Gatos, CA 95032-1551 · Phone (408) 866-3989 · Fax (650) 962-4592
515 South Dr Ste 12
Location 2/31Mountain View, CA 94040-4209 · Phone (408) 871-3400 · Fax (650) 643-0033
2490 Hospital Dr Ste 311
Location 3/31Mountain View, CA 94040-4126 · Phone (650) 962-4690 · Fax (650) 962-4696
320 Dardanelli Ln Ste 23B
Location 4/31Los Gatos, CA 95032-1441 · Phone (408) 871-5286 · Fax (650) 643-0017
2495 Hospital Dr Ste 425
Location 5/31Mountain View, CA 94040-4196 · Phone (650) 962-4662 · Fax (650) 643-0014
75 N Bascom Ave Ste 210
Location 6/31San Jose, CA 95128-1874 · Phone (408) 871-5044 · Fax (650) 643-0018
320 Dardanelli Ln Ste 22
Location 7/31Los Gatos, CA 95032-1419 · Phone (408) 871-5299 · Fax (650) 643-0016
200 Jose Figueres Ave Ste 425
Location 8/31San Jose, CA 95116-1596 · Phone (408) 871-5080 · Fax (650) 643-0019
2460 Samaritan Dr
Location 9/31San Jose, CA 95124-3907 · Phone (408) 871-5220 · Fax (650) 643-0015
2577 Samaritan Dr Ste 820
Location 10/31San Jose, CA 95124-4109 · Phone (408) 871-3400
2577 Samaritan Dr Ste 860
Location 11/31San Jose, CA 95124-4110 · Phone (408) 871-3400
700 W Parr Ave Ste A
Location 12/31Los Gatos, CA 95032-1416 · Phone (408) 871-3400
815 Pollard Rd
Location 13/31Los Gatos, CA 95032-1438 · Phone (408) 866-3989
2660 Grant Rd Ste E
Location 14/31Mountain View, CA 94040-4344 · Phone (408) 871-3400 · Fax (650) 934-2347
2204 Grant Rd Ste 203
Location 15/31Mountain View, CA 94040-3877 · Phone (408) 871-3400 · Fax (650) 643-0024
19600 Vallco Pkwy Ste 170
Location 16/31Cupertino, CA 95014-7136 · Phone (650) 338-4776
16130 Juan Hernandez Dr Ste 100
Location 17/31Morgan Hill, CA 95037-5541 · Phone (408) 871-3400
2505 Hospital Dr
Location 18/31Mountain View, CA 94040-4127 · Phone (650) 988-8338
2495 Hospital Dr Ste 550
Location 19/31Mountain View, CA 94040-4186 · Phone (650) 988-7930
1150 W El Camino Real
Location 20/31Mountain View, CA 94040-2518 · Phone (650) 695-5008
2500 Grant Rd
Location 21/31Mountain View, CA 94040-4302 · Phone (650) 940-7000
2495 Hospital Dr Ste 460
Location 22/31Mountain View, CA 94040-4172 · Phone (408) 871-3400
227 N Jackson Ave Ste 100
Location 23/31San Jose, CA 95116-1633 · Phone (408) 871-3400
2495 Hospital Dr Ste 450
Location 24/31Mountain View, CA 94040-4171 · Phone (408) 871-3400
4150 N 1st St
Location 25/31San Jose, CA 95134-1513 · Phone (408) 871-3400
777 Knowles Dr Ste 11
Location 26/31Los Gatos, CA 95032-1417 · Phone (408) 871-5202
625 Lincoln Ave
Location 27/31San Jose, CA 95126-3785 · Phone (408) 871-3400
2490 Hospital Dr Ste 210
Location 28/31Mountain View, CA 94040-4117 · Phone (650) 988-7670 · Fax (650) 447-2016
555 Knowles Dr Ste 219&115
Location 29/31Los Gatos, CA 95032-1549 · Phone (408) 866-3874 · Fax (650) 447-2022
555 Knowles Dr Ste 109
Location 30/31Los Gatos, CA 95032-1542 · Phone (408) 871-3400 · Fax (650) 643-0030
2490 Hospital Dr Ste 309
Location 31/31Mountain View, CA 94040-4125 · Phone (408) 871-3400 · Fax (650) 643-0041
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