Provider Demographics
NPI:1154979672
Name:CATHOLIC CHARITIES OF SANTA CLARA
Entity type:Organization
Organization Name:CATHOLIC CHARITIES OF SANTA CLARA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARYAPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-325-5115
Mailing Address - Street 1:2625 ZANKER RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-2130
Mailing Address - Country:US
Mailing Address - Phone:408-831-0440
Mailing Address - Fax:
Practice Address - Street 1:5111 SAN FELIPE RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95135-1220
Practice Address - Country:US
Practice Address - Phone:408-270-4900
Practice Address - Fax:408-516-9505
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHOLIC CHARITIES OF SANTA CLARA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care