SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. (NPI# 1144626649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144626649 |
| Entity Type | Organization |
| Organization Name | SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. |
| Other Organization Name | FOOTHILL COMMUNITY HEALTH CENTER |
| Practice Address |
9460 No Name Uno Suite 110 Gilroy CA 95020-3536 |
| Mailing Address |
2670 South White Road Suite 200 San Jose CA 95148-2071 |
| Practice Telephone | 4087972500 |
| Practice Fax Number | 8669317822 |
| Mailing Telephone | 4087294290 |
| Mailing Fax Number | 8669317822 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2015-06-04 |
| 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 |
| 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 |
9460 NO NAME UNO SUITE 110 |
| City | GILROY |
| State | CA |
| Zip Code | 95020-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619965688 | Smitha Kumar | Family Medicine | 9460 No Name Uno, 115, Gilroy, CA 95020-3537 | 2005-10-12 |
| 1356481360 | A Woman for Women Medical Group Inc | Obstetrics & Gynecology | 9460 No Name Uno, #245, Gilroy, CA 95020 | 2007-02-07 |
| 1205972254 | Medical Pavilion Pharmacy, Inc. | Pharmacy | 9460 No Name Uno, Suite 100, Gilroy, CA 95020-3537 | 2007-01-29 |
| 1417023615 | Leon Lubianker Md Inc | Dermatology | 9460 No Name Uno, Suite 210, Gilroy, CA 95020 | 2006-11-28 |
| 1821162884 | Gilroy Family Medical Group, Inc | Family Medicine | 9460 No Name Uno, #115, Gilroy, CA 95020 | 2006-11-20 |
| 1154415495 | Leon Lubianker | Dermatology | 9460 No Name Uno, Suite 210, Gilroy, CA 95020 | 2006-10-03 |
| 1831102003 | Gilroy Endoscopy Center LLC | Clinic/Center | 9460 No Name Uno, Suite 130, Gilroy, CA 95020 | 2006-08-15 |
| 1861404725 | Fritter & Schulz Physical Therapy | Physical Therapist | 9460 No Name Uno, Suite 140, Gilroy, CA 95020 | 2006-08-12 |
| 1912966185 | Kevin D Stuart | Internal Medicine | 9460 No Name Uno, Suite 130, Gilroy, CA 95020 | 2006-03-17 |
| 1437136801 | Roger Floyd Lucero | Family Medicine | 9460 No Name Uno, #115, Gilroy, CA 95020 | 2005-12-28 |
| Find all providers in the same location | ||||
| 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... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1144358748 | Gardner Family Health Network Inc | Clinic/Center | 7526 Monterey St, Gilroy, CA 95020-5826 | 2007-03-02 |
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| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
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| 1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
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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.