Organization · Type 2 NPI

Indian Health Center of Santa Clara Valley

Federally Qualified Health Center (FQHC) · San Jose, CA

NPI number 1114290780 Active

Practice location

455 Oconnor Dr Ste 200
San Jose, CA 95128-1632

Call (408) 445-3400 Map

Fax (408) 448-1727

Mailing address

1333 Meridian Ave
San Jose, CA 95125-5212

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	550001941 (CA)

Federally Qualified Health Center (FQHC): Definition to come...

9 other providers at this address

Bernadette Teresa Ansolabehere, MDFamily Medicine Physician San Jose, CA NPI 1366682767
Bianca Lynn Bustamente, DOStudent in an Organized Health Care Education/Training Program San Jose, CA NPI 1568217404
Cecilia ZhouStudent in an Organized Health Care Education/Training Program San Jose, CA NPI 1578313763
Enoch Yoon, MDFamily Medicine Physician San Jose, CA NPI 1689925703
Jonathan Hsijing Lu, MD, MSStudent in an Organized Health Care Education/Training Program San Jose, CA NPI 1902657331
Margarette Jeannette Shegog, MDFamily Medicine Physician San Jose, CA NPI 1508202821
Mary Julia TurocyStudent in an Organized Health Care Education/Training Program San Jose, CA NPI 1891373510
Milton Bird McColl, MDGeneral Practice Physician San Jose, CA NPI 1720402977
Ritwik Akshay KeshavStudent in an Organized Health Care Education/Training Program San Jose, CA NPI 1932959004

Other federally qualified health center (fqhc) providers in San Jose

See all in San Jose →

NPI record

NPI: 1114290780
Entity type: Organization (Type 2)
Issued: Feb 13, 2012
Last updated: Feb 7, 2013
Status: Active
Subpart: Yes of Indian Health Center of Santa Clara Valley

Other names

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Indian Health Center of Santa Clara Valley - Family Medicine Center · other name

Authorized official

Dr. Aldon Wayne Scott, D. M.
Director of Operations
(408) 445-3400

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114290780

Indian Health Center of Santa Clara Valley's National Provider Identifier is 1114290780, issued on Feb 13, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in San Jose, CA. The record was last updated on Feb 7, 2013.