INDIAN HEALTH CENTER OF SANTA CLARA VALLEY (NPI# 1518240118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518240118 |
Entity Type | Organization |
Organization Name | INDIAN HEALTH CENTER OF SANTA CLARA VALLEY |
Practice Address |
602 E Santa Clara St Suite 230 San Jose CA 95112-1908 |
Mailing Address |
1333 Meridian Ave San Jose CA 95125-5212 |
Practice Telephone | 4084453400 |
Practice Fax Number | 4089988070 |
Mailing Telephone | 4084453400 |
Mailing Fax Number | 4084481041 |
Enumeration Date | 2011-09-21 |
Last Update Date | 2011-09-21 |
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 | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
070000482 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICAL | FHC11833F | 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 |
1881997963 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1642 E Capitol Expy, San Jose, CA 95121-1800 | 2010-12-13 |
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 |
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 |
602 E SANTA CLARA ST SUITE 230 |
City | SAN JOSE |
State | CA |
Zip Code | 95112-1908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730239914 | Paul Rohde Heberlein | Psychologist | 602 E Santa Clara St, San Jose, CA 95112-1908 | 2007-01-11 |
1699154138 | Stephanie Gregory | Case Manager/Care Coordinator | 602 E Santa Clara St, 230, San Jose, CA 95112-1908 | 2015-05-28 |
1386033140 | Apryl Diane Kennedy | Counselor | 602 E Santa Clara St, San Jose, CA 95112-1908 | 2015-01-16 |
1386982007 | Michael Alan Bennett | Community Health Worker | 602 E Santa Clara St, San Jose, CA 95112-1908 | 2013-01-31 |
1346591807 | Ariana Leah Davdison | Social Worker | 602 E Santa Clara St, San Jose, CA 95112-1908 | 2012-09-25 |
1801159280 | Elisa Marina Alvarado | Counselor | 602 E Santa Clara St, San Jose, CA 95112-1908 | 2012-06-20 |
1528342995 | Indian Health Center of Santa Clara | Clinic/Center | 602 E Santa Clara St, Suite 230, San Jose, CA 95112-1908 | 2011-10-04 |
1366726903 | Indian Health Center of Santa Clara Valley | Clinic/Center | 602 E Santa Clara St, San Jose, CA 95112-1908 | 2011-09-30 |
1194005413 | Ashley Thomas | Social Worker | 602 E Santa Clara St, Suite 200, San Jose, CA 95112-1908 | 2011-08-17 |
1124307525 | Daniel Edward Pensler | Social Worker | 602 E Santa Clara St, San Jose, CA 95112-1908 | 2011-08-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
Find all providers in zip 95112 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235593237 | Cielo House Inc | Clinic/Center | 334 N. Second St., San Jose, CA 95112 | 2016-04-06 |
1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
1275964488 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1685 Westwood Dr Ste 1, San Jose, CA 95125 | 2013-12-13 |
1760584783 | County of Santa Clara | Clinic/Center | 650 South Bascom Avenue, San Jose, CA 95128 | 2006-09-01 |
1962512442 | County of Santa Clara | Clinic/Center | 2221 Enborg Lane, San Jose, CA 95128 | 2006-08-30 |
1497865976 | County of Santa Clara | Clinic/Center | 840 Guadalupe Pkwy, Suite 238, San Jose, CA 95110-1714 | 2006-08-30 |
1922118405 | County of Santa Clara | Clinic/Center | 828 S Bascom Ave Ste 180, San Jose, CA 95128-2600 | 2006-08-30 |
1437269917 | County of Santa Clara | Clinic/Center | 1650 Las Plumas Ave Ste K, San Jose, CA 95133-1657 | 2006-08-30 |
1699885079 | County of Santa Clara | Clinic/Center | 1887 Monterey Road Ste 205, San Jose, CA 95112-6192 | 2006-08-30 |
1679683064 | County of Santa Clara | Clinic/Center | 1075 East Santa Clara Street, San Jose, CA 95116 | 2006-08-30 |
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.