SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. (NPI# 1710305438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710305438 |
| Entity Type | Organization |
| Organization Name | SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. |
| Other Organization Name | FOOTHILL COMMUNITY HEALTH CENTER |
| Practice Address |
1855 Lucretia Avenue Room 112 San Jose CA 95122-3730 |
| Mailing Address |
2670 South White Road Suite 200 San Jose CA 95148-2071 |
| Practice Telephone | 4083474752 |
| Practice Fax Number | 4087757844 |
| Mailing Telephone | 4087294290 |
| Mailing Fax Number | 8669317822 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2015-06-08 |
| Authorized Official Name | MR. SALVADOR CHAVARIN (CHIEF EXECUTIVE OFFICER) |
| 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 Community Health Center | Doing Business As Name - 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 |
| 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 |
| 1306467865 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 2060 Aborn Rd Ste 125, San Jose, CA 95121-1586 | 2020-05-06 |
| Street Address |
1855 LUCRETIA AVENUE ROOM 112 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95122-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788015 | Vietnam Pharmacy Inc | Pharmacy | 2451 S King Rd Suite A1, San Jose, CA 95122 | 2020-04-06 |
| 1346894524 | Amy Le Tran | Counselor | Mekong Community Center, 2203 Tully Road, San Jose, CA 95122 | 2019-07-26 |
| 1164980439 | Tri Starr Home Care, LLC | PACE Provider Organization | 1609 Flanigan Dr., Unit H, Unit H, San Jose, CA 95122 | 2019-03-06 |
| 1740761196 | Aileen Phu | Acupuncturist | 1271 Story Rd Ste 50, San Jose, CA 95122 | 2018-08-23 |
| 1740775816 | Urgent Care Clinic of Northern Ca Inc | Clinic/Center | 999 Story Road, Suite 9021, San Jose, CA 95122 | 2018-06-29 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1497113153 | Jamealle Spain | Case Manager/Care Coordinator | 2070 Lucretia Ave #310, San Jose, CA 95122 | 2016-02-09 |
| 1770915035 | Thinh Tran | Dentist | 919 Story Rd Unit 1128, San Jose, CA 95122 | 2013-08-08 |
| 1356591333 | Asian American Recovery Services | Counselor | 1340 Tully Rd., San Jose, CA 95122 | 2008-09-25 |
| 1821246505 | Samara Rachel Stone | Marriage & Family Therapist | 1340 Tully Road, Suite 304, San Jose, CA 95122 | 2008-09-05 |
| Find all providers in zip 95122 | ||||
| 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.