NPIMap

Organization Active NPI

Foothill Health Center, Inc.

Doing business as FCHC Foothill McKee Behavior Health Center

  • Mental Health Counselor
  • San Jose, CA
National Provider Identifier
1720576960
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FOOTHILL HEALTH CENTER, INC.
Doing business as
FCHC Foothill McKee Behavior Health Center
Practice address
3463 McKee Rd
San Jose, CA 95127-2233
Phone
(408) 729-4290
Fax
(866) 931-7822
NPI assigned
Apr 24, 2018
Last updated
Apr 24, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
FOOTHILL HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3463 McKee Rd
San Jose, CA 95127-2233

Mailing address

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

Other names 1

  • FCHC Foothill McKee Behavior Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Jose Foothill Family15 organizations share this tax ID, including this one
Part of
San Jose Foothill Family

Other organizations with this tax ID 14

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

View all 14

Locations

3463 McKee Rd
San Jose, CA 95127

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": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1720576960",
    "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": "3463 MCKEE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272233",
            "telephone_number": "408-729-4290",
            "fax_number": "866-931-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOTHILL HEALTH CENTER, INC.",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "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"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FCHC Foothill McKee Behavior Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FCHC Foothill McKee Behavior Health 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 Apr 24, 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.