SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. (NPI# 1669922753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669922753 |
| Entity Type | Organization |
| Organization Name | SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. |
| Practice Address |
480 W 8th St Gilroy CA 95020-6474 |
| Mailing Address |
2670 S White Rd Ste 200 San Jose CA 95148-2073 |
| Practice Telephone | 4087299700 |
| Mailing Telephone | 4087294290 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2018-03-08 |
| Authorized Official Name | MR. SALVADOR CHAVARIN (CEO) |
| Authorized Official Telephone | 4087294290 |
| 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 |
| 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 |
| 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 |
| 1306467865 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 2060 Aborn Rd Ste 125, San Jose, CA 95121-1586 | 2020-05-06 |
| Street Address |
480 W 8TH ST |
| City | GILROY |
| State | CA |
| Zip Code | 95020-6474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569361 | Bay Area Community Health | Clinic/Center | 480 W 8th St, Gilroy, CA 95020-6474 | 2020-05-13 |
| 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 |
| 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 |
| 1144626649 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 9460 No Name Uno, Suite 110, Gilroy, CA 95020-3536 | 2014-11-10 |
| 1144358748 | Gardner Family Health Network Inc | Clinic/Center | 7526 Monterey St, Gilroy, CA 95020-5826 | 2007-03-02 |
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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.