Provider Demographics
NPI:1356563415
Name:CITY OF SAN JOSE
Entity type:Organization
Organization Name:CITY OF SAN JOSE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CITY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NOBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:DUENAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-535-8190
Mailing Address - Street 1:1661 SENTER RD STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-2522
Mailing Address - Country:US
Mailing Address - Phone:408-794-7000
Mailing Address - Fax:408-297-2804
Practice Address - Street 1:1661 SENTER RD STE 300
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-2522
Practice Address - Country:US
Practice Address - Phone:408-794-7000
Practice Address - Fax:408-297-2804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ24467ZMedicare PIN