Organization · Type 2 NPI

San Jose Foothill Family Community Clinic, Inc.

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

NPI number 1972005759 Active

Practice location

438 N White Rd
San Jose, CA 95127-1439

Call (408) 729-4290 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	None listed

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

111 other providers at this address

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

See all in San Jose →

NPI record

NPI: 1972005759
Entity type: Organization (Type 2)
Issued: Mar 7, 2018
Last updated: Mar 8, 2018
Status: Active
Subpart: Yes of Foothill Health Center, Inc.

Other names

<unavail>
FCHC Momentum - North White Center · doing business as
FCHC Momentum - North White Center · doing business as

Authorized official

Mr. Salvador Chavarin
CEO
(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.

Is this your record? How to update it.

About NPI 1972005759

San Jose Foothill Family Community Clinic, Inc.'s National Provider Identifier is 1972005759, issued on Mar 7, 2018. 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 8, 2018.