Organization · Type 2 NPI

San Jose Foothill Family Community Clinic, Inc.

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

NPI number 1306223615 Active

Practice location

2880 Story Rd, Suite 10
San Jose, CA 95127-3942

Call (408) 729-9700 Map

Mailing address

2670 S White Rd, Suite 200
San Jose, CA 95148-2071

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	H80CS06646 (CA)

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

8 other providers at this address

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NPI record

NPI: 1306223615
Entity type: Organization (Type 2)
Issued: May 6, 2015
Last updated: May 6, 2015
Status: Active
Subpart: Yes of San Jose Foothill Family Community Clinic, Inc.

Other names

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Foothill Community Mobile Clinic · doing business as

Authorized official

Salvador Chavarin
Chief Executive Officer
(408) 729-4290

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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 1306223615

San Jose Foothill Family Community Clinic, Inc.'s National Provider Identifier is 1306223615, issued on May 6, 2015. 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 May 6, 2015.