County of Santa Clara
NPI #1083651152 in San Jose, California
Provider Information
- NPI Number
- 1083651152
- Entity Type
- Organization
- Organization Name
- County of Santa Clara
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 31, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 750 S BASCOM AVE
- Address 2
- MEDICAL MOBILE UNIT-SLS
- City
- San Jose
- State
- California
- ZIP Code
- 95128-2603
- Phone
- (408) 885-5000
Authorized Official
- Name
- DR. ALFONSO F BANUELOS, MD
- Title
- CHIEF MEDICAL OFFICER
- Phone
- (408) 885-4001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
| Clinic/Center - Primary Care — Primary Care |
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