Organization · Type 2 NPI

Indian Health Center of Santa Clara Valley

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

NPI number 1538529052 Active

Practice location

25 N 14th St Ste 140
San Jose, CA 95112-6218

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	070000118 (CA)
Adult Mental Health Clinic/Center	261QM0850X	070000482 (CA)

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

3 other providers at this address

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NPI record

NPI: 1538529052
Entity type: Organization (Type 2)
Issued: Feb 25, 2016
Last updated: Feb 25, 2016
Status: Active

Other names

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Indian Health Center of Santa Clara Valley - FRC · other name

Authorized official

Dr. Aldon Wayne Scott, DOCTOR OF MANAGEMENT
Director of Operations
(408) 445-3400

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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 1538529052

Indian Health Center of Santa Clara Valley's National Provider Identifier is 1538529052, issued on Feb 25, 2016. 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 25, 2016.