San Jose State University Student Health Center in San Jose - Clinic/center
San Jose State University Student Health Center - NPI 1457534968
San Jose State University Student Health Center is a Clinic/center in San Jose, California. San Jose State University Student Health Center practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for San Jose State University Student Health Center is 1457534968. The last update date is 2007-12-07.
San Jose State University Student Health Center's current location address is 1 Washington Sq, San Jose, California. You can contact this provider via phone number 4089246120 and fax number 4089247786. The mailing address for San Jose State University Student Health Center is 1 Washington Sq, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Jose State University Student Health Center |
|---|---|
| Address | 1 Washington Sq, San Jose, California |
| Phone Number | 4089246120 |
| Fax Number | 4089247786 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL CH |
|---|---|
| Authorized Official Name | Manibo Cecilia |
| Credentials | M.D. |
| Telephone Number | 4089246140 |
NPI Number Detail
| NPI Number | 1457534968 |
|---|---|
| Provider Enumeration Date | 2007-12-07 |
| Last Updated Date | 2007-12-07 |
Provider Mailing Address Detail
| Address | 1 Washington Sq |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951920037 |
| Phone Number | 4089246120 |
| Fax Number | 4089247786 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0051700 | CA | MEDI-CAL PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to San Jose State University Student Health Center by the Centers for Medicare & Medicaid Services?
The San Jose State University Student Health Center has been assigned the NPI (National Provider Identifier) 1457534968. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where San Jose State University Student Health Center's facilities are situated?
The facilities of San Jose State University Student Health Center are physically located at the following address: 1 Washington Sq, San Jose, CA, 951920037.
What is San Jose State University Student Health Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for San Jose State University Student Health Center is Clinic/center, and the taxonomy classification code that categorizes this area of expertise is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1457534968 to San Jose State University Student Health Center?
The San Jose State University Student Health Center received its 1457534968 assignment from the Centers for Medicare & Medicaid Services on 2007-12-07.
When was the information pertaining to San Jose State University Student Health Center most recently updated or revised?
The details related to San Jose State University Student Health Center, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-07.