CENTRAL VALLEY CLINIC
NPI 1912041922
Clinic/Center - Methadone in San Jose, CA
NPI Status: Active since February 16, 2007
- Organization
- Clinic/Center
- Methadone
- CLIA Number: 05D2140852
- CLIA Cert. Type: Other - METHADONE CLINIC
- CLIA Exp. Date: 11-30-2025
About CENTRAL VALLEY CLINIC
This page provides the complete NPI Profile along with additional information for Central Valley Clinic, a provider established in San Jose, California operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1912041922 assigned on February 2007. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Central Valley Clinic. The authorized official of this NPI record is Sherri Terao (Dir, Behavioral Health Svcs)
- NPI
- 1912041922
- Provider Legal Name
- COUNTY OF SANTA CLARA
- Other Organization Name
- CENTRAL VALLEY CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2425 ENBORG LN SAN JOSE, CA 95128
- Location Phone
- (408) 885-5400
- Mailing Address
- 828 S BASCOM AVE STE 200 SAN JOSE, CA 95128
- Mailing Phone
- (408) 885-5770
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-16-2007
- Last Update Date
- 11-25-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 434397 | OTHER (01) | CA | STATE PROVIDER NUMBER |
| 4397 | OTHER (01) | CA | DRUG MEDI-CAL NUMBER |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
This service was performed 342 times for 20 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2140852
- Facility Type
- Other - METHADONE CLINIC
- Certificate Effective Date
- December 01, 2023
- Certificate Expiration Date
- November 30, 2025
- Laboratory Director
- ALI ALKORAISHI, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Central Valley Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for CENTRAL VALLEY CLINIC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 1 | 2 | 0 | 4 | 1 | 9 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 0 | 4 | 2 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 0 + 4 + 2 + 9 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1912041922 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689767121 | DEBORAH KAREN STEPHENSON MD;MPH Individual | Preventive Medicine (Public Health & General Preventive Medicine) | 2425 ENBORG LN PUENTES CLINIC SAN JOSE, CA 95128 (408) 885-5400 |
| 1396814356 | SANGEETHA RAGHURAMAN MD Individual | Internal Medicine (Addiction Medicine) | 2425 ENBORG LN PUENTES CLINIC SAN JOSE, CA 95128 (408) 885-5000 |
| 1982764734 | SUMA C SINGH MD Individual | Anesthesiology (Addiction Medicine) | 2425 ENBORG LN DADS INTERNAL MED PAIN MNGT SAN JOSE, CA 95128 (408) 885-5429 |
| 1679609903 | MS. KATHLEEN ANN MCQUAID LMFT Individual | Marriage & Family Therapist | 2425 ENBORG LN SAN JOSE, CA 95128 (408) 245-6740 |
| 1346377462 | ERICKA GRINNA MFT Individual | Marriage & Family Therapist | 2425 ENBORG LN SAN JOSE, CA 95128 (408) 885-4068 |
| 1346377900 | MR. MARK CHARLES HOPKINS MFT Individual | Marriage & Family Therapist | 2425 ENBORG LN SAN JOSE, CA 95128 (408) 885-5403 |
| 1205963923 | MS. CHERYL BLANKENSHIP KUPRAS MSW, LCSW Individual | Social Worker (Clinical) | 2425 ENBORG LN SAN JOSE, CA 95128 (408) 793-6422 |
| 1881722932 | MS. SUSAN EATON MATTHEWS MFT Individual | Marriage & Family Therapist | 2425 ENBORG LN SAN JOSE, CA 95128 (408) 885-5427 |
| 1053440594 | MRS. LOWANDA PIERSON RNMSW Individual | Registered Nurse (Addiction (Substance Use Disorder)) | 2425 ENBORG LN SAN JOSE, CA 95128 (408) 885-5400 |
| 1063542488 | MS. JUDITH A. SEEHAFER LMFT Individual | Marriage & Family Therapist | 2425 ENBORG LN SAN JOSE, CA 95128 (408) 885-4077 |
| 1083745061 | MRS. CARMEN M VITAL Individual | Counselor (Addiction (Substance Use Disorder)) | 2425 ENBORG LN SAN JOSE, CA 95128 (408) 885-5400 |
| 1871625772 | MRS. MARGARET BELINDA MENCHACA LVN Individual | Licensed Vocational Nurse | 2425 ENBORG LN SAN JOSE, CA 95128 (408) 885-5400 |
| 1912039843 | SCOTT HARGREAVES Individual | Licensed Psychiatric Technician | 2425 ENBORG LN SAN JOSE, CA 95128 (408) 885-5400 |
| 1639202393 | SHUSHING LIAO CHANG Individual | Registered Nurse (Addiction (Substance Use Disorder)) | 2425 ENBORG LN SAN JOSE, CA 95128 (408) 885-5487 |
| 1518082601 | JOHN W FALLON CAADAC Individual | Counselor (Addiction (Substance Use Disorder)) | 2425 ENBORG LN SAN JOSE, CA 95128 (408) 885-5400 |
| 1063625242 | MRS. PATRICIA MCGINNIS KIDD MFCC Individual | Marriage & Family Therapist | 2425 ENBORG LN SAN JOSE, CA 95128 (408) 885-5400 |
| 1114121886 | MS. GEORGIA R. CROWDER LCSW Individual | Social Worker (Clinical) | 2425 ENBORG LN SAN JOSE, CA 95128 (408) 885-5400 |
| 1548439656 | MRS. MARGARET LOUISE WILLIAMS MS, RD Individual | Dietitian, Registered | 2425 ENBORG LN SAN JOSE, CA 95128 (408) 885-4069 |
| 1932379021 | SANTA CLARA COUNTY Organization | Clinic/Center (Methadone) | 2425 ENBORG LN SAN JOSE, CA 95128 (408) 885-5400 |
| 1801173992 | ALINA MAMROT MSW Individual | Social Worker (Clinical) | 2425 ENBORG LN SAN JOSE, CA 95128 (408) 885-7306 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912041922, enumerated in the NPI registry as an "organization" on February 16, 2007
The provider is located at 2425 Enborg Ln San Jose, Ca 95128 and the phone number is (408) 885-5400
This medical organization specializes in Clinic/Center with taxonomy code 261QM2800X with a focus in Methadone
The provider might be accepting Accepts: Medicare, Medicaid and California Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm.
The provider's CLIA number is 05D2140852 for a "other - methadone clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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