INDIAN HEALTH CENTER OF SANTA CLARA VALLEY NPI 1437607355

NPI Information

NPI: 1437607355
Provider Name: INDIAN HEALTH CENTER OF SANTA CLARA VALLEY

Other Name: INDIAN HEALTH CENTER OF SANTA CLARA VALLEY - FOREST DENTAL

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2039 FOREST AVE STE 204B
SAN JOSE, CA
ZIP 95128
Phone: (408) 445-3400
Get Directions

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 1437607355. The provider is registered as an organization entity type.
The provider Other Name Is Indian Health Center Of Santa Clara Valley - Forest Dental.

The provider's business location address is:

2039 FOREST AVE STE 204B
SAN JOSE, CA
ZIP 95128-815
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 9/20/2016 and was last updated on 9/20/2016.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	070000118	CALIFORNIA	Yes

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
1	FHC11833F	OTHER	CALIFORNIA	MEDI-CAL
2	FHC11833F	MEDICAID	CALIFORNIA
3	55-1137	OTHER	CALIFORNIA	MEDICARE PALMETTO
4	FHC11833F	OTHER	CALIFORNIA	STATE PROGRAM
5	051979	MEDICARE UPIN	CALIFORNIA

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: 4/28/2024

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