Individual provider Active NPI

Jennifer Spence McLane

  • Community Health Clinic/Center
  • Gilroy, CA
National Provider Identifier
1548599582
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
12374 Issued in CA
Practice address
7861 Murray Ave
Gilroy, CA 95020-4604
Phone
(408) 842-1017
Fax
(408) 842-4186
NPI assigned
Dec 22, 2009
Last updated
Dec 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 12374 CA Primary

Addresses

Primary practice location

7861 Murray Ave
Gilroy, CA 95020-4604

Mailing address

5671 Santa Teresa Blvd
Suite 105
San Jose, CA 95123-6512
Phone (408) 284-2280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12374CAMDCommunity Health Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
School Health Clinics of Santa Clara County Past Accepting new patients
School Health Clinics of Santa Clara County Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jmaclane574690@direct.ochin.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1548599582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5671 SANTA TERESA BLVD",
            "address_2": "SUITE 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951236512",
            "telephone_number": "408-284-2280",
            "fax_number": "408-281-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7861 MURRAY AVE",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204604",
            "telephone_number": "408-842-1017",
            "fax_number": "408-842-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLANE",
        "first_name": "JENNIFER",
        "middle_name": "SPENCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "12374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.