NPIMap

Organization Active NPI

San Jose Foothill Family Community Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
National Provider Identifier
1689176604
Registry record updated Mar 17, 2018
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.
Practice address
2001 The Alameda
San Jose, CA 95126-1136
Phone
(408) 729-4290
Fax
(866) 931-7822
NPI assigned
Mar 6, 2018
Organization subpart
Yes
Parent organization
FOOTHILL HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mr. Salvador Chavarin
Title
Ceo
Phone
(408) 729-4290

Specialties & licenses 1

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

Addresses

Primary practice location

2001 The Alameda
San Jose, CA 95126-1136

Mailing address

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

Other practice location 1

438 N White Rd
San Jose, CA 95127-1439
Phone (408) 729-4290

Other names 1

  • FCHC Momentum - Alameda Center Doing business as

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1689176604",
    "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",
            "fax_number": "866-931-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261136",
            "telephone_number": "408-729-4290",
            "fax_number": "866-931-7822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "438 N White Rd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951271439",
            "country_code": "US",
            "telephone_number": "408-729-4290",
            "fax_number": "866-931-7822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOTHILL HEALTH CENTER, INC.",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CHAVARIN",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_title_or_position": "CEO",
        "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": "FCHC Momentum - Alameda Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FCHC Momentum - Alameda Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 17, 2018; 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.