INDIAN HEALTH CENTER OF SANTA CLARA VALLEY NPI 1275964488

NPI Information

  • NPI: 1275964488
  • Provider Name: INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 1118 MERIDIAN AVE STE 150
    SAN JOSE, CA
    ZIP 95125
  • Phone: (408) 445-3400

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NPI Details

INDIAN HEALTH CENTER OF SANTA CLARA VALLEY is a federally qualified health center (fqhc) clinic center in San Jose, CA. INDIAN HEALTH CENTER OF SANTA CLARA VALLEY NPI is 1275964488. The provider is registered as an organization entity type.

The provider's business location address is:

1118 MERIDIAN AVE STE 150
SAN JOSE, CA
ZIP 95125-329
Phone: (408) 445-3400

The provider's authorized official is Aldon Wayne Scott .
The authorized official title is Director Of Operations and has the following contact phone number (408) 445-3400.

The enumeration date for this NPI number is 12/13/2013 and was last updated on 1/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)070000118CALIFORNIAYes
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)070000482CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1FHC11833FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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