Organization
SOURCEWISE
Active
Other names
Council on Aging
Organization subpart
No
Provider details
NPI number
Authorized official
ANELIZA DEL PINAL (CHIEF EXECUTIVE OFFICER)
(408) 350-3231
Entity
Organization
Contact information
Practice address
3100 DE LA CRUZ BLVD, #310, SANTA CLARA, CA 95054
(408) 350-3200
(855) 965-0948
Mailing address
3100 DE LA CRUZ BLVD, #310, SANTA CLARA, CA 95054
(408) 350-3200
(855) 965-0948
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MSS00020F
—
CA
Enumeration date
06/25/2007
Last updated
09/11/2025
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