San Jose Foothill Family Community Clinic, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.

Doing business as

Foothill Community Health Center

Practice address

9460 No Name Uno
Suite 110
Gilroy, CA 95020-3536

Phone

(408) 797-2500

Fax

(866) 931-7822

NPI assigned

Nov 10, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Salvador Chavarin

Title

Chief Executive Officer

Phone

(408) 729-4290

Specialties & licenses 1

Addresses

Other names 1

• Foothill Community Health Center Doing business as

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1144626649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 SOUTH WHITE ROAD",
            "address_2": "SUITE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482071",
            "telephone_number": "408-729-4290",
            "fax_number": "866-931-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 NO NAME UNO",
            "address_2": "SUITE 110",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203536",
            "telephone_number": "408-797-2500",
            "fax_number": "866-931-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "CHAVARIN",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "408-729-4290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothill Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaymie Michelle Salinas
• Jenna Elizabeth Salinas
• Nathaly Salinas
• Yesenia Salinas
• Angela Samotis, CMT
• San Jose Foothill Family Community Clinic, Inc.
• San Jose Foothill Family Community Clinic, Inc.
• Ivette M San Juan, DDS
• Salina Danielle San Juan
• Paola San Miguel

• Federally Qualified Health Center (FQHC) in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.