SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. (NPI# 1053855312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053855312 |
| Entity Type | Organization |
| Organization Name | SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. |
| Other Organization Name | FOOTHILL HEALTH CENTER, INC. |
| Practice Address |
1776 Educational Park Dr N Building San Jose CA 95133-1703 |
| Mailing Address |
2670 S White Rd Suite 200 San Jose CA 95148-2071 |
| Practice Telephone | 4089286130 |
| Mailing Telephone | 4087294290 |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2018-03-08 |
| Authorized Official Name | MR. SALVADOR CHAVARIN (CEO) |
| Authorized Official Telephone | 4087294290 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Foothill Health Center, Inc. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588165385 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 17637 Vierra Canyon Rd, Prunedale, CA 93907-3314 | 2018-02-27 |
| 1770027047 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 3434 Silver Creek Rd, Room M1, San Jose, CA 95121-1845 | 2016-12-06 |
| 1669922753 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 480 W 8th St, Gilroy, CA 95020-6474 | 2016-10-12 |
| 1912311440 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 242 La Pala Drive, Suite A/b, San Jose, CA 95127-2103 | 2014-06-12 |
| 1104244821 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 3200 Senter Road, Room S-104, San Jose, CA 95111-1332 | 2014-03-31 |
| 1710305438 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 1855 Lucretia Avenue, Room 112, San Jose, CA 95122-3730 | 2014-03-31 |
| 1538508015 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 1066 South White Road, San Jose, CA 95127-3812 | 2013-06-18 |
| 1326302027 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 1650 South White Road, San Jose, CA 95127-4758 | 2012-06-27 |
| 1689950248 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 2380 Montpelier Drive, Suite 200/400, San Jose, CA 95116-1620 | 2011-10-27 |
| 1063658029 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 2880 Story Road, Suite 10, San Jose, CA 95127-3942 | 2008-12-22 |
| Street Address |
1776 EDUCATIONAL PARK DR N BUILDING |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95133-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649395906 | Healthright 360 | Community/Behavioral Health | 1776 Educational Park Dr, Healthy Start Office (a-05), San Jose, CA 95133-1703 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939841 | Ngan Kim Vo | Registered Nurse | 858 Gateview Ct, San Jose, CA 95133 | 2020-07-19 |
| 1508336686 | Andrew Jang | Behavior Technician | 75 E. Santa Clara St, San Jose, CA 95133 | 2018-11-30 |
| 1699269811 | Livleen Moore | Behavioral Analyst | 2828 Rainview Dr, San Jose, CA 95133 | 2018-06-20 |
| 1023526134 | Suman Sra Dds Inc | Dentist | 750 N Capitol Ave, Suite C-1, San Jose, CA 95133 | 2018-01-11 |
| 1861919797 | Maseume Quartararo | Social Worker | 1650 Las Plumas Avenue Suite K, San Jose, CA 95133 | 2017-08-22 |
| 1447789623 | San Jose Eye Care Optometry Professional Corporation | Optometrist | 301 N. Jackson Ave #1, San Jose, CA 95133 | 2017-06-09 |
| 1518336452 | Hung Tran | Pharmacist | 650 N Jackson Ave Apt 12, San Jose, CA 95133 | 2015-09-22 |
| 1487993507 | Taoyuan Chen | Acupuncturist | 866 Cape Verde Place, Sanjose, CA 95133 | 2013-02-08 |
| 1598021099 | Caminar | Community/Behavioral Health | 591 North King Rd, Suite 1, San Jose, CA 95133 | 2012-04-09 |
| 1922375070 | Hao Rong | Dentist | 1722 Commodore Dr., San Jose, CA 95133 | 2011-11-17 |
| Find all providers in zip 95133 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669094504 | Bay Area Community Health | Clinic/Center | 3434 Silver Creek Rd Rm M1, San Jose, CA 95121-1845 | 2020-05-14 |
| 1720600760 | Bay Area Community Health | Clinic/Center | 2880 Story Rd Ste 10, San Jose, CA 95127-3942 | 2020-05-13 |
| 1487276424 | Bay Area Community Health | Clinic/Center | 242 La Pala Dr Ste A&b, San Jose, CA 95127-2103 | 2020-05-13 |
| 1598387672 | Bay Area Community Health | Clinic/Center | 3200 Senter Rd Rm S104, San Jose, CA 95111-1332 | 2020-05-12 |
| 1962024059 | Bay Area Community Health | Clinic/Center | 1066 S White Rd Ste 170, San Jose, CA 95127-3812 | 2020-05-12 |
| 1407478597 | Bay Area Community Health | Clinic/Center | 1855 Lucretia Ave Bldg M, San Jose, CA 95122-3730 | 2020-05-12 |
| 1659993632 | Bay Area Community Health | Clinic/Center | 617 N Jackson Ave Bldg 1, San Jose, CA 95133-2345 | 2020-05-12 |
| 1821564485 | Indian Health Center of Santa Clara Valley | Clinic/Center | 9501 Malech Rd, San Jose, CA 95138 | 2018-10-22 |
| 1770027047 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 3434 Silver Creek Rd, Room M1, San Jose, CA 95121-1845 | 2016-12-06 |
| 1437607355 | Indian Health Center of Santa Clara Valley | Clinic/Center | 2039 Forest Ave Ste 204b, San Jose, CA 95128-4815 | 2016-09-20 |
| Find all providers in SAN JOSE | ||||
Please comment or provide details below to improve the information on SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.