Organization · Type 2 NPI

Indian Health Center of Santa Clara Valley

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

NPI number 1881997963 Active

Practice location

1642 E Capitol Expy
San Jose, CA 95121-1800

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	550001783 (CA)

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

12 other providers at this address

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NPI record

NPI: 1881997963
Entity type: Organization (Type 2)
Issued: Dec 13, 2010
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 · 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 1881997963

Indian Health Center of Santa Clara Valley's National Provider Identifier is 1881997963, issued on Dec 13, 2010. 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.