| Indian Health Center Of Santa Clara | |
|
602 E Santa Clara St San Jose CA 95112-1908 | |
| (408) 445-3400 | |
| (408) 448-1727 |
| Full Name | Indian Health Center Of Santa Clara |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 602 E Santa Clara St, San Jose, California |
| Authorized Official Name and Position | Aldon Wayne Scott (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4084453400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Health Center Of Santa Clara 1333 Meridian Avenue San Jose CA 95125-5212 Ph: (408) 445-3400 | Indian Health Center Of Santa Clara 602 E Santa Clara St San Jose CA 95112-1908 Ph: (408) 445-3400 |
| NPI Number | 1366726903 |
|---|---|
| Provider Enumeration Date | 09/30/2011 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366726903 | NPI | - | NPPES |
| FHC11833F | Other | CA | MEDICAL |
| 55-1120 | Other | CA | MEDICARE PALMETTO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 070000482 (California) | Primary |
N/a Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2625 Zanker Rd, 101, San Jose, CA 95134 Phone: 408-325-5230 Fax: 408-944-0468 | |
Lauren Capano Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3970 The Woods Dr, Apt. 524, San Jose, CA 95136 Phone: 646-761-8982 | |
Alum Rock Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 277 Mahoney Dr, San Jose, CA 95127 Phone: 408-240-0070 | |
Abode Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Southwest Expy, San Jose, CA 95126 Phone: 510-270-1150 | |
Pacific Clinics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Wabash Ave, San Jose, CA 95128 Phone: 408-295-1814 | |
Sondermind Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6203 San Ignacio Ave Ste 110, San Jose, CA 95119 Phone: 844-843-7279 | |
Radical Roots Psychotherapy, A Licensed Clinical Social Worker, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1875 Mac Duee Ct., San Jose, CA 95121 Phone: 609-694-1872 |