Organization · Type 2 NPI

County of Santa Clara

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

NPI number 1740992544 Active

Practice location

455 Oconnor Dr Ste 300
San Jose, CA 95128-1644

Call (408) 885-5000 Map

Mailing address

PO Box 103331
Pasadena, CA 91189-3331

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

Another provider at this address

Amy Christine Meier, CNMAdvanced Practice Midwife San Jose, CA NPI 1164554705

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

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NPI record

NPI: 1740992544
Entity type: Organization (Type 2)
Issued: Dec 23, 2022
Last updated: Oct 13, 2023
Status: Active
Subpart: Yes of County of Santa Clara

Other names

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Youth Health Center for Evaluation and Advocacy · doing business as

Authorized official

Paul E Lorenz
Chief Executive Officer
(408) 885-4010

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 1740992544

County of Santa Clara's National Provider Identifier is 1740992544, issued on Dec 23, 2022. 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 Oct 13, 2023.