SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY (NPI# 1689620478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689620478 |
Entity Type | Organization |
Organization Name | SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY |
Practice Address |
7861 Murray Ave Gilroy CA 95020-4604 |
Mailing Address |
6840 Via Del Oro Ste# 210 San Jose CA 95119 |
Practice Telephone | 4088421017 |
Practice Fax Number | 4088424186 |
Mailing Telephone | 4082842280 |
Mailing Fax Number | 4087540450 |
Enumeration Date | 2006-05-25 |
Last Update Date | 2018-04-11 |
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 |
070000696 | 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 | FHC71038F | 01 |
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 |
1376683151 | School Health Clinics of Santa Clara County | Clinic/Center | 645 Wool Creek Dr, San Jose, CA 95112-2617 | 2007-02-08 |
1083755631 | School Health Clinics of Santa Clara County | Clinic/Center | 1835 Cunningham Ave, San Jose, CA 95122-1712 | 2007-02-08 |
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 |
7861 MURRAY AVE |
City | GILROY |
State | CA |
Zip Code | 95020-4604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164916896 | Yvonne Agupugo | Nurse Practitioner | 7861 Murray Ave, Gilroy, CA 95020-4604 | 2018-06-16 |
1548599582 | Jennifer Spence Mclane | Clinic/Center | 7861 Murray Ave, Gilroy, CA 95020-4604 | 2009-12-22 |
1730334715 | Stephanie Kleinheinz | Clinic/Center | 7861 Murray Ave, Gilroy, CA 95020-4604 | 2008-11-18 |
1013101708 | Mary Rabitz | Nurse Practitioner | 7861 Murray Ave, Gilroy, CA 95020-4604 | 2007-09-05 |
1770777476 | Susan Turner | Nurse Practitioner | 7861 Murray Ave, Gilroy, CA 95020-4604 | 2007-09-05 |
1033303722 | Mary Mccafferty | Nurse Practitioner | 7861 Murray Ave, Gilroy, CA 95020-4604 | 2007-09-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376158105 | Benjamin Liupaogo | Case Manager/Care Coordinator | Rebekah Children's Services, 290 Ioof Ave, Gilroy, CA 95020 | 2020-09-09 |
1205457330 | Ethel Rostran | Counselor | 290 I00f Ave., Gilroy, CA 95020 | 2020-04-29 |
1407498868 | Mehak Saini | Behavior Technician | 9360 Noname Uno, Gilroy, CA 95020 | 2019-10-16 |
1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
1932752490 | Eamon F. Burke | Counselor | Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 | 2019-07-23 |
1578116232 | Jose Enrique Cruz | Behavior Technician | 9360 Noname Uno #130, Gilroy, CA 95020 | 2019-07-22 |
1558925560 | Mauricio Hazael Procopio | Behavioral Analyst | 9360 Noname Uno Suite 130, Gilroy, CA 95020 | 2019-04-24 |
1689138893 | Gabriela Mendoza | Behavioral Analyst | 9395 Kern Ave, Gilroy, CA 95020 | 2019-01-22 |
1972082782 | Andrea Gloria Blanton | Social Worker | Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 | 2018-08-13 |
1407334626 | Katrina Davina Aguilera | Case Manager/Care Coordinator | 290 Loof Ave., Gilroy, CA 95020 | 2018-07-31 |
Find all providers in zip 95020 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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---|---|---|---|---|
1790307742 | Bay Area Community Health | Clinic/Center | 9460 N Name Uno Ste 215, Gilroy, CA 95020-3532 | 2020-05-13 |
1669922753 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 480 W 8th St, Gilroy, CA 95020-6474 | 2016-10-12 |
1316569361 | Bay Area Community Health | Clinic/Center | 480 W 8th St, Gilroy, CA 95020-6474 | 2020-05-13 |
1871115964 | Bay Area Community Health | Clinic/Center | 9460 N Name Uno Ste 110, Gilroy, CA 95020-3536 | 2020-05-12 |
1316482896 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 9460 N Name Uno, Suite 215, Gilroy, CA 95020-3537 | 2016-12-20 |
1144626649 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 9460 No Name Uno, Suite 110, Gilroy, CA 95020-3536 | 2014-11-10 |
1144358748 | Gardner Family Health Network Inc | Clinic/Center | 7526 Monterey St, Gilroy, CA 95020-5826 | 2007-03-02 |
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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.