Provider Demographics
NPI:1003085820
Name:CATHOLIC CHARITIES OF SANTA CLARA
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES OF SANTA CLARA
Other - Org Name:N/A
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARYAPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-325-5115
Mailing Address - Street 1:2625 ZANKER RD
Mailing Address - Street 2:101
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-2130
Mailing Address - Country:US
Mailing Address - Phone:408-325-5230
Mailing Address - Fax:408-944-0468
Practice Address - Street 1:2625 ZANKER RD
Practice Address - Street 2:101
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-2130
Practice Address - Country:US
Practice Address - Phone:408-325-5230
Practice Address - Fax:408-944-0468
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:N/A
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-26
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherUNICARE