SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY (NPI# 1447390265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447390265 |
| Entity Type | Organization |
| Organization Name | SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY |
| Practice Address |
1149 E Julian St Building H. San Jose CA 95116-1005 |
| Mailing Address |
6840 Via Del Oro Ste# 210 San Jose CA 95119 |
| Practice Telephone | 4085356001 |
| Practice Fax Number | 4085352348 |
| Mailing Telephone | 4082842280 |
| Mailing Fax Number | 4087540450 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | STEPHANIE KELINHEINZ (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 |
070000689 | 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 | FHC71018F | 01 |
| CA | MEDI-CAL | HAP70689G | 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 |
| 1689620478 | School Health Clinics of Santa Clara County | Clinic/Center | 7861 Murray Ave, Gilroy, CA 95020-4604 | 2006-05-25 |
| 1851431647 | School Health Clinics of Santa Clara County | Clinic/Center | 100 Oak St, San Jose, CA 95110-2817 | 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 |
1149 E JULIAN ST BUILDING H. |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831593136 | Shelly W Wong | Registered Nurse | 1149 E Julian St, Bldg H, San Jose, CA 95116-1005 | 2014-10-15 |
| 1184953127 | Ruth Holguin | Clinic/Center | 1149 E Julian St, Bldg. H, San Jose, CA 95116-1005 | 2009-12-22 |
| 1629262324 | Andrea Hong | Nurse Practitioner | 1149 E Julian St, San Jose, CA 95116-1005 | 2007-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
| Find all providers in zip 95116 | ||||
| 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.