NPIMap

Organization Active NPI

School Health Clinics of Santa Clara County

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
National Provider Identifier
1235803941
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY
Practice address
645 Wool Creek Dr
San Jose, CA 95112-2617
Phone
(408) 283-6051
NPI assigned
Aug 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Jocelyn Hart
Title
Coo/Cfo
Phone
(408) 284-2289

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

645 Wool Creek Dr
San Jose, CA 95112-2617

Mailing address

6840 Via del Oro Ste 210
San Jose, CA 95119-1372
Phone (408) 284-2280

Other identifiers 2

IdentifierTypeStateIssuer
FHC70692GOtherCAMEDI-CAL ID
HAP70692GMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
School Health Clinics of Santa Clara County9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

645 Wool Creek Dr
San Jose, CA 95112
Phone (408) 283-6051

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1235803941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 VIA DEL ORO STE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191372",
            "telephone_number": "408-284-2280",
            "fax_number": "408-754-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 WOOL CREEK DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951122617",
            "telephone_number": "408-283-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "408-284-2289"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL ID",
            "identifier": "FHC70692G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP70692G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.