OrganizationActive
Innovative Resources Ssm
NPI 1902643190 · Peer Specialist · San Jose, CA
Innovative Resources Ssm is a Peer Specialist organization in San Jose, CA (NPI 1902643190).
Provider details
- NPI number
- 1902643190
- Entity type
- Organization
- Primary specialty
- Peer SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Yolanda Lewis, Executive Director(855) 311-3335
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
619 N 1st St
San Jose, CA 95112-5110
Phone: (916) 891-7552
Street-level locationGet directions
Mailing address
619 N 1st St
San Jose, CA 95112-5110
Registry dates
- Enumerated
- 2024-07-13
- Last updated
- 2024-07-13
- Certified
- 2024-07-13
Frequently asked questions
- What is Innovative Resources Ssm's NPI number?
- Innovative Resources Ssm's National Provider Identifier (NPI) is 1902643190, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Resources Ssm?
- Innovative Resources Ssm is classified in the NPPES registry as Peer Specialist (Other Service Providers).
- Where is Innovative Resources Ssm located?
- Innovative Resources Ssm's practice location on file with NPPES is 619 N 1st St, San Jose, CA 95112-5110.
- What is Innovative Resources Ssm's phone number?
- The practice phone number listed in the NPPES registry for Innovative Resources Ssm is (916) 891-7552.
- Who is the authorized official for Innovative Resources Ssm?
- The authorized official listed on Innovative Resources Ssm's NPPES record is Yolanda Lewis, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Resources Ssm's NPI active?
- Yes — Innovative Resources Ssm's NPI (1902643190) is active in the NPPES registry as of the last update on 2024-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.