San Jose Family Health Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAN JOSE FAMILY HEALTH CENTER

Practice address

25 N 14TH St
Suite 1020
San Jose, CA 95112-6204

Phone

(408) 977-4677

Fax

(408) 977-7302

NPI assigned

Mar 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeff Rydburg

Title

VP

Phone

(800) 661-3365

Specialties & licenses 1

Addresses

Other names 1

• San Jose Family Health Center Doing business as

Tax ID family

Family Practice Medical Associates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family Practice Medical Associates, Inc.

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1205880366
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104955756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N 14TH ST",
            "address_2": "SUITE 1020",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126204",
            "telephone_number": "408-977-4677",
            "fax_number": "408-977-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 14TH ST",
            "address_2": "SUITE 1020",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126204",
            "telephone_number": "408-977-4677",
            "fax_number": "408-977-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RYDBURG",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "800-661-3365"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Jose Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Jose Dental Surgery Center, Inc.
• San Jose Dentistry & Implants
• San Jose Doctors on Duty
• San Jose Eye Care Optometry Professional Corporation
• San Jose Eye Institute Medical Corporation
• San Jose Foothill Family Community Clinic
• San Jose Foothill Family Community Clinic, Inc
• San Jose Foothill Family Community Clinic, Inc.
• San Jose Foothill Family Community Clinic, Inc.
• San Jose Foothill Family Community Clinic, Inc.

• Family Medicine Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.