NPIMap

Organization Active NPI

San Jose Foothill Family Community Clinic, Inc.

Doing business as Foothill Community Health Center

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
National Provider Identifier
1306467865
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
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
2060 Aborn Rd Ste 125
San Jose, CA 95121-1586
Phone
(408) 729-9700
NPI assigned
May 6, 2020
Organization subpart
Yes
Parent organization
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Neil Kozuma, JD, MPA
Title
Development Director
Phone
(408) 729-4290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2060 Aborn Rd Ste 125
San Jose, CA 95121-1586

Mailing address

2670 S White Rd Ste 200
San Jose, CA 95148-2073
Phone (408) 729-4290

Other names 2

  • Foothill Community Health Center Doing business as
  • Foothill Health Center, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
San Jose Foothill Family Community Clinic15 organizations share this tax ID, including this one
Part of
San Jose Foothill Family Community Clinic

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1306467865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 S WHITE RD STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482073",
            "telephone_number": "408-729-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 ABORN RD STE 125",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211586",
            "telephone_number": "408-729-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "KOZUMA",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "DEVELOPMENT DIRECTOR",
        "authorized_official_telephone_number": "408-729-4290",
        "authorized_official_credential": "JD, MPA"
    },
    "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"
        },
        {
            "organization_name": "Foothill Health Center, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 6, 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.