INDIAN HEALTH CENTER OF SANTA CLARA VALLEY (NPI# 1427216308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427216308 |
| Entity Type | Organization |
| Organization Name | INDIAN HEALTH CENTER OF SANTA CLARA VALLEY |
| Practice Address |
1333 Meridian Ave San Jose CA 95125-5212 |
| Practice Telephone | 4084453400 |
| Practice Fax Number | 4084481041 |
| Mailing Telephone | 4084453400 |
| Mailing Fax Number | 4084481041 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2011-06-30 |
| Authorized Official Name | WANDA E EDMO (HUMAN RESOURCE DIRECTOR) |
| Authorized Official Telephone | 4084453400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
070000118 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FAMILY PACT PROGRAM | HAP11833F | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821564485 | Indian Health Center of Santa Clara Valley | Clinic/Center | 9501 Malech Rd, San Jose, CA 95138 | 2018-10-22 |
| 1437607355 | Indian Health Center of Santa Clara Valley | Clinic/Center | 2039 Forest Ave Ste 204b, San Jose, CA 95128-4815 | 2016-09-20 |
| 1629462312 | Indian Health Center of Santa Clara Valley | Clinic/Center | 2039 Forest Ave Ste 105, San Jose, CA 95128-4815 | 2015-03-20 |
| 1275964488 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1685 Westwood Dr Ste 1, San Jose, CA 95125 | 2013-12-13 |
| 1538529052 | Indian Health Center of Santa Clara Valley | Clinic/Center | 25 N 14th St Ste 140, San Jose, CA 95112-6218 | 2016-02-25 |
| 1326425265 | Indian Health Center of Santa Clara Valley | Clinic/Center | 2030 Forest Ave Ste 110, San Jose, CA 95128-4833 | 2015-04-29 |
| 1114290780 | Indian Health Center of Santa Clara Valley | Clinic/Center | 455 Oconnor Dr Ste 200, San Jose, CA 95128-1632 | 2012-02-13 |
| 1366726903 | Indian Health Center of Santa Clara Valley | Clinic/Center | 602 E Santa Clara St, San Jose, CA 95112-1908 | 2011-09-30 |
| 1518240118 | Indian Health Center of Santa Clara Valley | Clinic/Center | 602 E Santa Clara St, Suite 230, San Jose, CA 95112-1908 | 2011-09-21 |
| 1881997963 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1642 E Capitol Expy, San Jose, CA 95121-1800 | 2010-12-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDIAN HEALTH CENTER OF SANTA CLARA VALLEY | 1333 Meridian Ave, San Jose, CA 95125-5212 |
| Street Address |
1333 MERIDIAN AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95125-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588621577 | Beahwa Yeoh | Nurse Practitioner | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2006-04-26 |
| 1346720109 | Pamela Gayle Ghareeb Gudino | Nurse Practitioner | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2018-08-20 |
| 1639681513 | Tammy S. Hwang | Nurse Practitioner | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2017-10-31 |
| 1255859872 | Vinh Buu Cai | Nurse Practitioner | 1333 Meridian Ave, San Jose, CA 95125 | 2017-09-04 |
| 1053841338 | Elle Dinh | Dentist | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2017-06-19 |
| 1952839110 | Christopher Solis | Nurse Practitioner | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2017-05-31 |
| 1225496946 | Hoaihuong Nguyen | Dentist | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2016-02-09 |
| 1598141384 | Prisila Gonzalez | Nurse Practitioner | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2015-08-04 |
| 1871992065 | Mala Gopal | Dentist | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2014-08-14 |
| 1265877948 | Saira Muhammed | Dentist | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2013-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245431 | Carmen J. Frank | Marriage & Family Therapist | 913 Willow St., Suite 103, San Jose, CA 95125 | 2020-08-12 |
| 1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
| 1750870747 | Gertrud Stojancic | Massage Therapist | 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 | 2018-05-04 |
| 1659809259 | Edward Escoto | Assistant Behavior Analyst | 2075 Lincoln Ave Ste D, San Jose, CA 95125 | 2017-05-25 |
| 1104288422 | Kristin Ann Dessau | Counselor | 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 | 2016-03-25 |
| 1275964488 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1685 Westwood Dr Ste 1, San Jose, CA 95125 | 2013-12-13 |
| 1598042905 | Walgreens | Exclusive Provider Organization | 2585 Almaden Road, San Jose, CA 95125 | 2011-11-14 |
| 1881981488 | Kevin Jia-chian Yen | Dentist | 1660 Willow St Ste 5, San Jose, CA 95125 | 2011-07-02 |
| 1699093724 | Lokahi Acupuncture, Inc. | Acupuncturist | 1688 Willow Street, Suite B, San Jose, CA 95125 | 2010-05-13 |
| 1538482468 | Mark Lucius Yoslow | Psychologist | 970 Minnesota Avenue, San Jose, CA 95125 | 2010-03-06 |
| Find all providers in zip 95125 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962044057 | Aleracare Medical Group of California | Clinic/Center | 2331a Montpelier Dr Ste 20, San Jose, CA 95116-1614 | 2019-10-10 |
| 1457642548 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 3571 N 1st St Fl 2, San Jose, CA 95134-1803 | 2011-04-25 |
| 1285662270 | Shen Medicine & Pediatrics Associates A Professional Corporation | Clinic/Center | 316 Rosewood Ave, San Jose, CA 95117-1605 | 2006-06-29 |
| 1972598449 | County of Santa Clara | Clinic/Center | 750 S Bascom Ave, Valley Health Center At Bascom, San Jose, CA 95128-2603 | 2005-09-12 |
| 1992247811 | County of Santa Clara | Clinic/Center | 2101 Alexian Dr, Vhc At Alexian, San Jose, CA 95116-1901 | 2016-11-09 |
| 1396123568 | Sutter Visiting Nurse Association and Hospice | Clinic/Center | 455 Oconnor Dr, Suite 300, San Jose, CA 95128-1633 | 2015-05-08 |
| 1568713006 | Hospice of The Valley | Clinic/Center | 455 Oconnor Dr, Suite 300, San Jose, CA 95128-1633 | 2012-09-24 |
| 1326312067 | Verity Medical Foundation | Clinic/Center | 625 Lincoln Ave, San Jose, CA 95126-3705 | 2012-02-27 |
| 1629236500 | Indian Health Center of Santa Clara Valley | Clinic/Center | 602 E Santa Clara St, Suite 230, San Jose, CA 95112-1908 | 2008-05-28 |
| 1518125491 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1333 Meridian Ave, San Jose, CA 95125-5212 | 2008-05-28 |
| Find all providers in SAN JOSE | ||||
Please comment or provide details below to improve the information on INDIAN HEALTH CENTER OF SANTA CLARA VALLEY.
| 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.