| Foothill Community Health Center | |
|
2380 Montpelier Drive Suite 200/400 San Jose CA 95116-1620 | |
| (408) 254-1800 | |
| (866) 931-7822 |
| Full Name | Foothill Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2380 Montpelier Drive, San Jose, California |
| Authorized Official Name and Position | Salvador Chavarin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4087294290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothill Community Health Center 2670 South White Road Suite 200 San Jose CA 95148-2071 Ph: (408) 729-4290 | Foothill Community Health Center 2380 Montpelier Drive Suite 200/400 San Jose CA 95116-1620 Ph: (408) 254-1800 |
| NPI Number | 1689950248 |
|---|---|
| Provider Enumeration Date | 10/27/2011 |
| Last Update Date | 06/04/2015 |
| Medicare PECOS PAC ID | 3375638208 |
|---|---|
| Medicare Enrollment ID | O20161219001686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689950248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Chris Chung, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Oconnor Dr, #150, San Jose, CA 95128 Phone: 408-293-7767 Fax: 408-294-6595 | |
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Verity Medical Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 N Jackson Ave, San Jose, CA 95116 Phone: 408-278-3000 | |
Leena Gupta Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4945 Bridgeview Ln, San Jose, CA 95138 Phone: 408-666-0392 | |
Shen Medicine & Pediatrics Assc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Rosewood Ave, San Jose, CA 95117 Phone: 408-296-9800 Fax: 408-296-9805 | |
Terry C. Lin D.o.,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2520 Samaritan Dr., #201, San Jose, CA 95124 Phone: 888-582-0814 |