OrganizationActive
Willow Glen High
NPI 1194172122 · Community/Behavioral Health Agency · San Jose, CA
Willow Glen High is a Community/Behavioral Health Agency organization in San Jose, CA (NPI 1194172122).
Provider details
- NPI number
- 1194172122
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Gardner Family Care Corporatio
- Organization subpart
- Yes
- Authorized official
- Loren Gissible, Program Coordinator(408) 287-6200
Specialties & taxonomies
Agencies
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
160 E Virginia St Ste 280
San Jose, CA 95112-5817
Phone: (408) 287-6200
Street-level locationGet directions
Mailing address
2001 Cottle Ave
San Jose, CA 95125-3502
Registry dates
- Enumerated
- 2016-05-19
- Last updated
- 2016-05-19
Frequently asked questions
- What is Willow Glen High's NPI number?
- Willow Glen High's National Provider Identifier (NPI) is 1194172122, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willow Glen High?
- Willow Glen High is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Willow Glen High located?
- Willow Glen High's practice location on file with NPPES is 160 E Virginia St Ste 280, San Jose, CA 95112-5817.
- What is Willow Glen High's phone number?
- The practice phone number listed in the NPPES registry for Willow Glen High is (408) 287-6200.
- Who is the authorized official for Willow Glen High?
- The authorized official listed on Willow Glen High's NPPES record is Loren Gissible, Program Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willow Glen High's NPI active?
- Yes — Willow Glen High's NPI (1194172122) is active in the NPPES registry as of the last update on 2016-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.