EVANS LANE WELLNESS AND RECOVERY CENTER
NPI 1174784169
Clinic/Center - Adult Mental Health in San Jose, CA

Active since June 23, 2008CLIA 05D2221745 · Waiver
2090 EVANS LN, SAN JOSE, CA 95125(408) 885-5770 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2024, Sep 27, 2022 (2 updates tracked since 2022).

About Evans Lane Wellness And Recovery Center NPPES

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

EVANS LANE WELLNESS AND RECOVERY CENTER (NPI 1174784169) is a healthcare organization registered as an adult mental health in San Jose, California and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Sherri Terao, Dir, Behavioral Health Svcs, as its authorized official.

NPPES Registry Identity

NPI1174784169
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCOUNTY OF SANTA CLARA
Location Address2090 EVANS LNSan Jose, CA 95125-2072
Mailing Address828 S Bascom Ave Ste 200San Jose, CA 95128-2600 · (408) 885-5770 · Fax (408) 885-5788
Organization SubpartYes
Authorized OfficialSherri TeraoDir, Behavioral Health Svcs · (408) 885-5776
Enumeration DateJune 23, 2008
Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
NPI 1174784169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2090 EVANS LN, San Jose, CA 95125

Other Names 1

Doing Business AsEvans Lane Wellness And Recovery Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2221745

Evans Lane Wellness And Recovery Program · San Jose, CA
Active · expires Apr 22, 2027
CLIA Number05D2221745
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorMatin Farhan
Laboratory Phone(408) 373-3934
Laboratory LocationEvans Lane Wellness And Recovery Program2090 Evans Lane, San Jose, CA 95125
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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.

Social Worker (Clinical)
2090 EVANS LN
SAN JOSE, CA 95125
Marriage & Family Therapist
2090 EVANS LN
SAN JOSE, CA 95125
Counselor (Mental Health)
2090 EVANS LN
SAN JOSE, CA 95125
Rehabilitation Practitioner
2090 EVANS LN
SAN JOSE, CA 95125
Social Worker
2090 EVANS LN
SAN JOSE, CA 95125
Technician, Other
2090 EVANS LN
SAN JOSE, CA 95125
Rehabilitation Practitioner
2090 EVANS LN
SAN JOSE, CA 95125
Marriage & Family Therapist
2090 EVANS LN
SAN JOSE, CA 95125

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 County Of Santa Clara's NPI number?

The NPI number for County Of Santa Clara is 1174784169. It was assigned to this organization in the NPPES registry on June 23, 2008. The provider is doing business as Evans Lane Wellness And Recovery Center.

Where is County Of Santa Clara located?

County Of Santa Clara is located at 2090 Evans Ln, San Jose, CA 95125. The listed phone number is (408) 885-5770.

What is County Of Santa Clara's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Does County Of Santa Clara hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2221745) is associated with this NPI, valid through April 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for County Of Santa Clara was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.