Provider Demographics
NPI:1164665618
Name:SANTA CLARA VALLEY MEDICAL CENTER
Entity Type:Organization
Organization Name:SANTA CLARA VALLEY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENCY PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-885-7724
Mailing Address - Street 1:1607 PARKMOOR AVE
Mailing Address - Street 2:APARTMENT 228
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2437
Mailing Address - Country:US
Mailing Address - Phone:408-513-4901
Mailing Address - Fax:
Practice Address - Street 1:1607 PARKMOOR AVE
Practice Address - Street 2:APARTMENT 228
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2437
Practice Address - Country:US
Practice Address - Phone:408-513-4901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital