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

JUVENTAS WEST A PROFESSIONAL MEDICAL CORPORATION
NPI 1356685101
Specialist in Santa Clara, CA

Q: What is Juventas West A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 17, 2012

410 N WINCHESTER BLVD, SANTA CLARA, CA 95050(650) 888-5728 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Juventas West A Professional Medical Corporation NPPES

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

JUVENTAS WEST A PROFESSIONAL MEDICAL CORPORATION (NPI 1356685101) is a healthcare organization registered as a specialist in Santa Clara, California and active in the NPI registry since November 2012. The organization maintains a secondary practice location in San Jose and lists Tien Trinh, Owner, as its authorized official.

NPPES Registry Identity

NPI1356685101

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameJUVENTAS WEST A PROFESSIONAL MEDICAL CORPORATION

Location Address410 N WINCHESTER BLVDSanta Clara, CA 95050-6325

Mailing Address728 Colleen DrSan Jose, CA 95123-4605 · (650) 888-5728

Phone(650) 888-5728

Organization SubpartNo

Authorized OfficialTien TrinhOwner · (408) 646-5390

Enumeration DateNovember 17, 2012

Last NPPES UpdateAugust 21, 2026

NPPES CertifiedAugust 21, 2026

✔ NPI 1356685101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · 193400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

410 N WINCHESTER BLVD, Santa Clara, CA 95050

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Secondary Practice Location 1

Location 1728 Colleen DrSan Jose, CA 95123-4605 · Phone (650) 888-5728

Other Identifiers 2

Medicaid00A891760CA

Medicaid00Q796540CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

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