SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC (NPI# 1922485952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922485952 |
| Entity Type | Organization |
| Organization Name | SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC |
| Other Organization Name | MONTEREY PLAZA HEALTH CENTER |
| Practice Address |
5504 Monterey Hwy San Jose CA 95138-1529 |
| Mailing Address |
2670 S White Rd Suite 200 San Jose CA 95148-2071 |
| Practice Telephone | 4087299700 |
| Mailing Telephone | 4087294240 |
| Mailing Fax Number | 8669317822 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-29 |
| Authorized Official Name | SALVADOR CHAVARIN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4087294240 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC |
| 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 |
|---|---|
| Monterey Plaza Health Center | Doing Business As Name - Organization |
| Street Address |
5504 MONTEREY HWY |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95138-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346391620 | Aderonke Ojo | Podiatrist | 5504 Monterey Hwy, San Jose, CA 95138-1529 | 2007-01-15 |
| 1598387680 | Bay Area Community Health | Clinic/Center | 5504 Monterey Hwy, San Jose, CA 95138-1529 | 2020-05-12 |
| 1689169005 | Bahareh Abadian | Dentist | 5504 Monterey Hwy, San Jose, CA 95138-1529 | 2018-06-27 |
| 1154851582 | Cherryl Matias | Physician Assistant | 5504 Monterey Hwy, San Jose, CA 95138-1529 | 2017-06-18 |
| 1134664774 | Minh Thu Huynh Nguyen | Dental Hygienist | 5504 Monterey Hwy, San Jose, CA 95138-1529 | 2017-01-05 |
| 1679017263 | Thu Le Nguyen | Dental Hygienist | 5504 Monterey Hwy, San Jose, CA 95138-1529 | 2016-12-15 |
| 1205370889 | Linh T. Diep | Dental Hygienist | 5504 Monterey Hwy, San Jose, CA 95138-1529 | 2016-12-15 |
| 1689118242 | Hanh H. Nguyen | Dental Hygienist | 5504 Monterey Hwy, San Jose, CA 95138-1529 | 2016-12-15 |
| 1932519378 | Alireza Zargar | Podiatrist | 5504 Monterey Hwy, San Jose, CA 95138-1529 | 2014-05-07 |
| 1568727725 | Sheshashree Seshadri | Pediatrics | 5504 Monterey Hwy, Suite 200, San Jose, CA 95138-1529 | 2012-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623865 | Nguyen and Tran Dental Corporation | Dentist | 6130 Hellyer Avenue, San Jose, CA 95138 | 2020-09-09 |
| 1821564485 | Indian Health Center of Santa Clara Valley | Clinic/Center | 9501 Malech Rd, San Jose, CA 95138 | 2018-10-22 |
| 1548690324 | Megan Chang | Occupational Therapist | 5900, Pistoia Way, San Jose, CA 95138 | 2013-11-15 |
| 1720428410 | Cristina Duenas | Social Worker | 5855 Silver Creek Valley Pl, San Jose, CA 95138 | 2013-06-27 |
| 1174967079 | Guardian Sleep Clinic, LLC | Clinical Medical Laboratory | 315 Piercy Rd, San Jose, CA 95138 | 2013-04-22 |
| 1871847889 | Rebecca Kerry Van Sickle | Counselor | 9500 Malech Rd, San Jose, CA 95138 | 2012-10-30 |
| 1366720906 | Ariosa Diagnostics, Inc. | Clinical Medical Laboratory | 5945 Optical Court, San Jose, CA 95138 | 2011-08-01 |
| 1043406713 | Umaru Fofana | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138 | 2007-09-17 |
| 1316140569 | Dickman & Bourla Chiropractic Inc | Chiropractor | 2311 Silver Breeze Ct, San Jose, CA 95138 | 2007-06-06 |
| 1508983032 | Traci Pickett | Counselor | 9500 Malech Road, San Jose, CA 95138 | 2007-03-22 |
| Find all providers in zip 95138 | ||||
| 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.