NPIMap

Organization Active NPI

School Health Clinics of Santa Clara County

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
National Provider Identifier
1851431647
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY
Practice address
100 Oak St
San Jose, CA 95110-2817
Phone
(408) 295-0980
Fax
(408) 993-0402
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Stephanie Kleinheinz, NP
Title
Ceo
Phone
(408) 284-2288

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Supports Brokerage Agency 251X00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Health Service Clinic/Center 261QH0100X 070000472 CA

Addresses

Primary practice location

100 Oak St
San Jose, CA 95110-2817

Mailing address

6840 Via del Oro
Ste# 210
San Jose, CA 95119
Phone (408) 284-2280

Other practice location 1

100 Oak St
San Jose, CA 95110-2817
Phone (408) 295-0980

Other identifiers 2

IdentifierTypeStateIssuer
FHC70844GOtherCAMEDI-CAL ID
HAP70844GOtherCAFAM PACT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140618001771 CA Part B Supplier - Clinic/Group Practice 8527282243 Receives reassigned benefits from 3 practitioners
4 other NPIs on this enrollment
Practice locations: San Jose, CA; Gilroy, CA
O20180531000733 CA Part A Provider - Federally Qualified Health Center (FQHC) 8527282243 Practice locations: San Jose, CA

Federally qualified health center certification: CCN 921071

Legal name
SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 24, 2018
Last certification
Apr 24, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 31, 2007 in CA
Enrollment address
100 Oak St
San Jose, CA 95110-2817

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Anna Costa Individual Corporate OfficerBoard Chair Oct 1, 2016
Susan Aldrich Individual Corporate OfficerBoard Member Jul 1, 2011
Corporate DirectorBoard Member Jul 1, 2011
Stephanie M Kleinheinz Individual Corporate DirectorCeo Sep 29, 2008
Operational/Managerial ControlCeo Sep 29, 2008
Jocelyn Hart Individual Corporate DirectorCoo/Cfo May 4, 2015
Operational/Managerial ControlCoo/Cfo May 4, 2015

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1851431647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 VIA DEL ORO",
            "address_2": "STE# 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95119",
            "telephone_number": "408-284-2280",
            "fax_number": "408-754-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OAK ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951102817",
            "telephone_number": "408-295-0980",
            "fax_number": "408-993-0402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Oak St",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951102817",
            "country_code": "US",
            "telephone_number": "408-295-0980",
            "fax_number": "408-993-0402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "KLEINHEINZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-284-2288",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "070000472",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL ID",
            "identifier": "FHC70844G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAM PACT",
            "identifier": "HAP70844G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.