SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. (NPI# 1598209868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598209868 |
| Entity Type | Organization |
| Organization Name | SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. |
| Other Organization Name | FOOTHILL HEALTH CENTER, INC. |
| Practice Address |
2680 S White Rd Suite 260 San Jose CA 95148-2074 |
| Mailing Address |
2670 S White Rd Suite 200 San Jose CA 95148-2071 |
| Practice Telephone | 4087553905 |
| Practice Fax Number | 4087758995 |
| 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 |
2680 S WHITE RD SUITE 260 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95148-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912086364 | Joseph A. Cu | Internal Medicine | 2680 S White Rd, Suite 207, San Jose, CA 95148-2074 | 2006-11-06 |
| 1477097632 | Mira Patel | Marriage & Family Therapist | 2680 S White Rd, San Jose, CA 95148-2074 | 2016-12-07 |
| 1275082034 | James Angelo Fabe | Physical Therapist | 2680 S White Rd, Suite 200, San Jose, CA 95148 | 2016-09-22 |
| 1598158222 | Joseph A. Cu, Md, PC | Clinic/Center | 2680 S White Rd, Suite 207, San Jose, CA 95148-2074 | 2015-03-05 |
| 1669894572 | Stephanie Velasco | Social Worker | 2680 S White Rd, Suite 170, San Jose, CA 95148-2074 | 2014-01-11 |
| 1588955207 | Christine Tronge | Social Worker | 2680 S White Rd, Suite 170, San Jose, CA 95148-2074 | 2011-04-28 |
| 1003138660 | Efstathia Perivoliotis | Counselor | 2680 S White Rd, San Jose, CA 95148-2074 | 2010-02-24 |
| 1114190386 | Jacqueline Silva Armes | Counselor | 2680 S White Rd, Suite 170, San Jose, CA 95148-2074 | 2008-04-09 |
| 1821283524 | Joselito Cabaccan, Md | Internal Medicine | 2680 S White Rd, Suite 265, San Jose, CA 95148-2074 | 2007-09-06 |
| 1619034279 | Matthew Eric Freeman | Dentist | 2680 S White Rd, Suite 255, San Jose, CA 95148-2074 | 2007-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415540 | World Trekker LLC | Home Health | 2756 White Acres Drive, San Jose, CA 95148 | 2020-07-29 |
| 1962932749 | Mychau Nhu Nguyen | Acupuncturist | 2710 Gumdrop Drive, San Jose, CA 95148 | 2017-06-14 |
| 1457705808 | Dzuy V Bi | Optometrist | 2670 S White Rd Ste 200, San Jose, CA 95148 | 2016-04-21 |
| 1235489626 | Emerlyn Sangha | Dental Hygienist | 1878 Oakton Court, San Jose, CA 95148 | 2012-09-13 |
| 1073863502 | Uyen-ly Hoang Nguyen | Counselor | 2792 White Acres Dr, San Jose, CA 95148 | 2012-09-12 |
| 1780955880 | Tiffany Thy Nguyen | Pharmacist | 3121 Norwood Avenue, San Jose, CA 95148 | 2012-01-20 |
| 1215204722 | Stacey Nguyen | Pharmacist | 2799 S. White Road, San Jose, CA 95148 | 2011-11-28 |
| 1760670798 | Jamie Victoria Santiago | Chiropractor | 8010 Wayland Ln. Ste 1b, Gilroy, CA 95148 | 2007-10-03 |
| 1003021494 | Rosemary Evans | Dentist | 2680 S White Road, Suite 100, San Jose, CA 95148 | 2007-05-11 |
| 1942334073 | Evelyn Gaviola | Physical Therapist | 2670 S White Rd Ste 120, San Jose, CA 95148 | 2007-03-14 |
| Find all providers in zip 95148 | ||||
| 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 |
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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.