MEDICARE: GOOD SAMARITAN HOSPITAL, L.P.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	050380	OTHER	CA	BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	050380	OTHER	CA	BLUE SHIELD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1437103777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD SAMARITAN HOSPITAL, L.P.

Provider Business Mailing Address
First Line	:	2425 SAMARITAN DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95124-3908
Country	:	US
Telephone Number	:	408-559-2011
Fax Number	:	408-559-2662

Provider Business Practice Location Address
First Line	:	2425 SAMARITAN DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95124-3908
Country	:	US
Telephone Number	:	408-559-2011
Fax Number	:	408-559-2662

Authorized Official
Title or Position	:	CFO
Name	:	BRANDON WARE
Credential	:
Telephone Number	:	408-559-2458

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	11/07/2025

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515