MEDICARE: COUNTY OF SANTA CLARA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	261QU0200X	Urgent Care Clinic/Center
3	261QF0400X	Federally Qualified Health Center (FQHC)	070000085	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CG5995	OTHER	CA	RAILROAD RETIREMENT MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972598449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF SANTA CLARA

Provider Business Mailing Address
First Line	:	PO BOX 103331
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91189-3331
Country	:	US
Telephone Number	:	669-299-8165
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 S BASCOM AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2603
Country	:	US
Telephone Number	:	408-885-5000
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	PAUL E LORENZ
Credential	:
Telephone Number	:	408-885-4010

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	06/04/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

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

1003376831 — EVANGELIA LEA LAZARIS MD
Practice Location Address:

750 S BASCOM AVE
SAN JOSE, CA
95128-2603

Practice Phone: 408-885-5000
Practice Fax:

1952376550 — INGRID OPPERS AALAMI MD
Practice Location Address:

750 S BASCOM AVE , OB/GYN DEPT
SAN JOSE, CA
95128-2603

Practice Phone: 408-885-5550
Practice Fax:

1871556431 — JENNIFER DOMINGO-MIHALKO MD
Practice Location Address:

750 S BASCOM AVE , VHC OB/GYN CLINIC
SAN JOSE, CA
95128-2603

Practice Phone: 408-885-5550
Practice Fax:

1275597528 — CHRISTL ELAINE KIRCHNER NP
Practice Location Address:

750 S BASCOM AVE , OB/GYN CLINIC
SAN JOSE, CA
95128-2603

Practice Phone: 408-885-4684
Practice Fax:

1083651152 — COUNTY OF SANTA CLARA
Practice Location Address:

750 S BASCOM AVE , MEDICAL MOBILE UNIT-SLS
SAN JOSE, CA
95128-2603

Practice Phone: 408-885-5000
Practice Fax:

Directions to “COUNTY OF SANTA CLARA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.