San Jose Clinic

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

SAN JOSE CLINIC

Practice address

2615 Fannin St
Houston, TX 77002-9224

Phone

(713) 228-9411

Fax

(713) 228-2612

NPI assigned

May 16, 2011

Last updated

Sep 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Margo Melchor-Hernandez

Title

Ceo

Phone

(713) 228-9411

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

San Jose Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• San Jose Clinic

  • Pharmacy
  • Rosenberg, TX
  • NPI 1043099328
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• San Jose Clinic

  • Pharmacy
  • Rosenberg, TX
  • NPI 1043099328
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tammy Perez Chiu, PHARMD

  • Pharmacist
  • Houston, TX
  • NPI 1851016364
  NPD

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1750674321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029224",
            "telephone_number": "713-228-9411",
            "fax_number": "713-228-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029224",
            "telephone_number": "713-228-9411",
            "fax_number": "713-228-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "MELCHOR-HERNANDEZ",
        "authorized_official_first_name": "MARGO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-228-9411",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Felipe Medical Center LLC
• Alicia San Felipe, COTA/L
• Kianna Nathanaelle Camorahan San Felix, PT
• San Gabriel Primary Care and Associates LLC
• San Jacinto Clinic & Rehabilitation LLC
• Stacy San Lucas, AGACNP
• San Martin Nursing Services, LLC
• Alicia San Miguel, PHD
• Lisa F San Miguel, LMSW
• Thalia Ruby San Roman

• Community Health Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Community Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.