Provider Demographics
NPI:1326312067
Name:VERITY MEDICAL FOUNDATION
Entity Type:Organization
Organization Name:VERITY MEDICAL FOUNDATION
Other - Org Name:DCHS MEDICAL FOUNDATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DIDECH
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:408-278-3193
Mailing Address - Street 1:400 RACE ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-3518
Mailing Address - Country:US
Mailing Address - Phone:408-278-3000
Mailing Address - Fax:
Practice Address - Street 1:625 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-3705
Practice Address - Country:US
Practice Address - Phone:405-278-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAUGHTERS OF CHARITY HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-27
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty