PH
Medical Clinic
PENINSULA HEALTHCARE CONNECTION, INC.
33 ENCINA AVE, SUITE 103, PALO ALTO, CA 94301
Source updated 2026-10-16. Source-listed location, not a NursingHomes.io endorsement. Confirm operating status, care availability, and services directly.
Official provider information
- CCN
- A01095
- LTC
- NON-LTC
- NPI
- 1295935799
- ZIP
- 94301
- id
- 4996
- CITY
- PALO ALTO
- FLAG
- Not reported
- ZIP9
- 2300
- rank
- 0.057308756
- AO CD
- Not reported
- FACID
- 630013056
- DEEMED
- 0
- T18 19
- Not reported
- ADDRESS
- 33 ENCINA AVE, SUITE 103
- AO NAME
- Not reported
- FACNAME
- PENINSULA HEALTHCARE CONNECTION, INC.
- FAC FDR
- PRIMARY CARE CLINIC
- HCAI ID
- 306434228
- CAPACITY
- 0
- LATITUDE
- 37.439334
- LOCATION
- (-122.1610635,37.439334)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- Y
- LONGITUDE
- -122.1610635
- CCLHO CODE
- 43
- CCLHO NAME
- SANTA CLARA
- START DATE
- Not reported
- TRAUMA CTR
- Not reported
- ASPEN FACID
- CA630013056
- COUNTY CODE
- 530
- COUNTY NAME
- SANTA CLARA
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- Not reported
- PARENT FACID
- Not reported
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- 2022-09-13T00:00:00
- BUSINESS NAME
- PENINSULA HEALTHCARE CONNECTION, INC.
- DISTRICT NAME
- SAN JOSE
- FAC TYPE CODE
- COMTYC
- LICENSE NUMBER
- 550001665
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 7
- FIPS COUNTY CODE
- 6085
- LICENSED CERTIFIED
- LICENSED AND CERTIFIED
- PARTICIPATION DATE
- 2022-07-13T00:00:00
- CONTACT PHONE NUMBER
- (650) 853-0321
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- 2011-08-22T00:00:00
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- N
- LICENSE EFFECTIVE DATE
- 2025-11-22T00:00:00
- ENTITY TYPE DESCRIPTION
- NONPROFIT CORP
- LICENSE EXPIRATION DATE
- 2026-11-21T00:00:00
- CRITICAl ACCESS HOSPITAL
- Not reported
- CAN BE CERTIFIED FAC TYPE
- Y
- LICENSE STATUS DESCRIPTION
- ACTIVE
- FAC FAC RELATIONSHIP TYPE CODE
- PARENT
COMMUNITY EXPERIENCE
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