SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY (NPI# 1376683151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376683151 |
| Entity Type | Organization |
| Organization Name | SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY |
| Practice Address |
645 Wool Creek Dr San Jose CA 95112-2617 |
| Mailing Address |
6840 Via Del Oro Ste# 210 San Jose CA 95119 |
| Practice Telephone | 4082836051 |
| Practice Fax Number | 4082836210 |
| Mailing Telephone | 4082842280 |
| Mailing Fax Number | 4087540450 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2018-04-12 |
| Authorized Official Name | STEPHANIE KLEINHEINZ (CEO) |
| Authorized Official Telephone | 4082842288 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
0700686 | CA | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL ID | FHC70692G | 01 |
| CA | HAP70692G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986107 | School Health Clinics of Santa Clara County | Pediatrics | 855 Lenzen Ave Rm 105, San Jose, CA 95126-2736 | 2019-05-06 |
| 1477950681 | School Health Clinics of Santa Clara County | Health Maintenance Organization | 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 | 2014-12-03 |
| 1083755631 | School Health Clinics of Santa Clara County | Clinic/Center | 1835 Cunningham Ave, San Jose, CA 95122-1712 | 2007-02-08 |
| 1689620478 | School Health Clinics of Santa Clara County | Clinic/Center | 7861 Murray Ave, Gilroy, CA 95020-4604 | 2006-05-25 |
| 1851431647 | School Health Clinics of Santa Clara County | Clinic/Center | 100 Oak St, San Jose, CA 95110-2817 | 2007-02-08 |
| 1447390265 | School Health Clinics of Santa Clara County | Clinic/Center | 1149 E Julian St, Building H., San Jose, CA 95116-1005 | 2007-02-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY | 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 |
| Street Address |
645 WOOL CREEK DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609359470 | Rigoberto Orozco | Marriage & Family Therapist | 645 Wool Creek Dr, San Jose, CA 95112-2617 | 2018-09-07 |
| 1699276170 | Erika Mary Blanchard | Case Manager/Care Coordinator | 645 Wool Creek Dr, San Jose, CA 95112-2617 | 2018-02-21 |
| 1245751213 | Denisse Garcia Garcia | Rehabilitation Counselor | 645 Wool Creek Dr, San Jose, CA 95112-2617 | 2017-06-29 |
| 1194263566 | Lucia Diana Hernandez-ulloa | Rehabilitation Practitioner | 645 Wool Creek Dr, Suite 97, San Jose, CA 95112-2617 | 2017-02-06 |
| 1891233680 | Irazu Martinez | Case Manager/Care Coordinator | 645 Wool Creek Dr, 97, San Jose, CA 95112-2617 | 2017-02-01 |
| 1720480676 | Francisco Hernandez | Case Manager/Care Coordinator | 645 Wool Creek Dr, Ste 97, San Jose, CA 95112-2617 | 2014-09-23 |
| 1497156749 | Rosanna Pena | Case Manager/Care Coordinator | 645 Wool Creek Dr, Suite 97, San Jose, CA 95112-2617 | 2014-09-05 |
| 1770821472 | Ben Van Tran | Case Manager/Care Coordinator | 645 Wool Creek Dr, Suite 97, San Jose, CA 95112-2617 | 2013-01-30 |
| 1558608760 | Lisa Mena | Case Manager/Care Coordinator | 645 Wool Creek Dr, Suite 97, San Jose, CA 95112-2617 | 2013-01-08 |
| 1174860399 | Jessica De La Cruz | Case Manager/Care Coordinator | 645 Wool Creek Dr, Suite 97, San Jose, CA 95112-2617 | 2013-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| 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 | ||||
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| 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.