INDIAN HEALTH CENTER OF SANTA CLARA VALLEY NPI 1538529052

NPI Information

NPI: 1538529052
Provider Name: INDIAN HEALTH CENTER OF SANTA CLARA VALLEY

Other Name: INDIAN HEALTH CENTER OF SANTA CLARA VALLEY - FRC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
25 N 14TH ST STE 140
SAN JOSE, CA
ZIP 95112
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 1538529052. The provider is registered as an organization entity type.
The provider Other Name Is Indian Health Center Of Santa Clara Valley - Frc.

The provider's business location address is:

25 N 14TH ST STE 140
SAN JOSE, CA
ZIP 95112-218
Phone: (408) 445-3400
Fax: (408) 448-1727

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 2/25/2016 and was last updated on 2/25/2016.

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	261QM0850X	Clinic/Center	Adult Mental Health	070000482	CALIFORNIA	No
2	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	051979	MEDICARE UPIN	CALIFORNIA
2	FHC11833F	OTHER	CALIFORNIA	MEDI-CAL
3	55-1137	OTHER	CALIFORNIA	MEDICARE PALMETTO
4	FHC11833F	MEDICAID	CALIFORNIA
5	FHC11833F	OTHER	CALIFORNIA	STATE PROGRAM

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: 11/14/2023

NPI Synchronization or Removal

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