Organization · Type 2 NPI

San Jose Foothill Family Community Clinic, Inc.

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

NPI number 1487165544 Active

Practice location

2060 Aborn Rd Ste 125
San Jose, CA 95121-1586

Call (408) 729-4090 Map

Fax (866) 931-7822

Mailing address

2670 S White Rd Ste 200
San Jose, CA 95148-2073

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	070000436 (CA)

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

4 other providers at this address

Bay Area Community HealthFederally Qualified Health Center (FQHC) San Jose, CA NPI 1164044343
San Jose Foothill Family Community Clinic, Inc.Federally Qualified Health Center (FQHC) San Jose, CA NPI 1306467865
Anthony Phan, DMDGeneral Practice Dentistry San Jose, CA NPI 1700976552
Sujata S. Gawande, DDSGeneral Practice Dentistry San Jose, CA NPI 1538681325

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

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NPI record

NPI: 1487165544
Entity type: Organization (Type 2)
Issued: Oct 17, 2017
Last updated: Mar 9, 2018
Status: Active
Subpart: Yes of San Jose Foothill Family Community Clinic, Inc.

Other names

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Foothill Community Health Center · doing business as
Foothill Health Center, Inc. · other name

Authorized official

Salvador Chavarin
Chief Executive Officer
(408) 729-4290

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 1487165544

San Jose Foothill Family Community Clinic, Inc.'s National Provider Identifier is 1487165544, issued on Oct 17, 2017. 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 Mar 9, 2018.