| Indian Health Center Of Santa Clara | |
|
1642 E Capitol Expy San Jose CA 95121-1800 | |
| (408) 445-3400 | |
| (408) 448-1727 |
| Full Name | Indian Health Center Of Santa Clara |
|---|---|
| Speciality | Clinic/Center |
| Location | 1642 E Capitol Expy, San Jose, California |
| Authorized Official Name and Position | Aldon Wayne Scott (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4084453400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Health Center Of Santa Clara 1333 Meridian Ave San Jose CA 95125-5212 Ph: (408) 445-3400 | Indian Health Center Of Santa Clara 1642 E Capitol Expy San Jose CA 95121-1800 Ph: (408) 445-3400 |
| NPI Number | 1881997963 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 02/07/2013 |
| Medicare PECOS PAC ID | 1153406665 |
|---|---|
| Medicare Enrollment ID | O20120126000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881997963 | NPI | - | NPPES |
| 55-1120 | Other | CA | MEDICARE PALMETTO |
| FHC11833F | Medicaid | CA | |
| FHC11833F | Other | CA | STATE PROGRAMS |
| G01133-01 | Other | CA | DELTA DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550001783 (California) | Primary |
| Provider Name | Michael M Quach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255542577 PECOS PAC ID: 1254320336 Enrollment ID: I20040512000782 |
| Provider Name | Maria Lucinda D Esmundo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992810394 PECOS PAC ID: 3779541628 Enrollment ID: I20041227000108 |
| Provider Name | Hemalatha Vangala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356374029 PECOS PAC ID: 0749229151 Enrollment ID: I20050426000590 |
| Provider Name | Trinh H Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780758383 PECOS PAC ID: 9335248301 Enrollment ID: I20070616000095 |
| Provider Name | Michael B Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922184506 PECOS PAC ID: 3678473865 Enrollment ID: I20070710000886 |
| Provider Name | Susan S Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437284775 PECOS PAC ID: 5597857508 Enrollment ID: I20070822001041 |
| Provider Name | Paul Rohde Heberlein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730239914 PECOS PAC ID: 6507939238 Enrollment ID: I20080714000542 |
| Provider Name | Kristie Treftz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952585416 PECOS PAC ID: 0749348662 Enrollment ID: I20081022000231 |
| Provider Name | Anupama Balakrishnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821034232 PECOS PAC ID: 2365500022 Enrollment ID: I20081023000814 |
| Provider Name | Gerald H Bausek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508921958 PECOS PAC ID: 7416019831 Enrollment ID: I20081218000764 |
| Provider Name | Arunasri Kelleti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003080243 PECOS PAC ID: 3678635521 Enrollment ID: I20081231000175 |
| Provider Name | Leena Badhwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265466874 PECOS PAC ID: 4486717402 Enrollment ID: I20090116000166 |
| Provider Name | Bridget Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891923686 PECOS PAC ID: 4385784800 Enrollment ID: I20091214000777 |
| Provider Name | Amy V Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033349998 PECOS PAC ID: 2961543426 Enrollment ID: I20100105000749 |
| Provider Name | Rupal Nayan Desai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992750053 PECOS PAC ID: 0244240604 Enrollment ID: I20100617000205 |
| Provider Name | Barbara A Peters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417955741 PECOS PAC ID: 1153445739 Enrollment ID: I20100903000124 |
| Provider Name | Parivash Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457536518 PECOS PAC ID: 1052505211 Enrollment ID: I20101101001415 |
| Provider Name | Deepa Srinivasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326214545 PECOS PAC ID: 4789871054 Enrollment ID: I20101213000626 |
| Provider Name | Rosemarie D Bersabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730478488 PECOS PAC ID: 3274700331 Enrollment ID: I20120113000211 |
| Provider Name | Linh T Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467741207 PECOS PAC ID: 7618132333 Enrollment ID: I20120703000266 |
| Provider Name | Elizabeth J Mccraven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922316082 PECOS PAC ID: 7214187715 Enrollment ID: I20121018000257 |
| Provider Name | Lisa L Whelan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073876694 PECOS PAC ID: 6608020391 Enrollment ID: I20130205000268 |
| Provider Name | Zaha F Husaini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356520019 PECOS PAC ID: 6901043264 Enrollment ID: I20130507000048 |
| Provider Name | Sonya Lobana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659502136 PECOS PAC ID: 1052558988 Enrollment ID: I20130513000218 |
| Provider Name | Julie E Priest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568483675 PECOS PAC ID: 7911145214 Enrollment ID: I20130528000512 |
| Provider Name | Jesse Rokicki-parashar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689980195 PECOS PAC ID: 1254578644 Enrollment ID: I20130530000561 |
| Provider Name | Akbar Zikria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679848360 PECOS PAC ID: 4082855424 Enrollment ID: I20130726000271 |
| Provider Name | Maryam Hassanpour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154742831 PECOS PAC ID: 7618196999 Enrollment ID: I20140918001489 |
| Provider Name | Nivedita Lakhera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730399387 PECOS PAC ID: 3173691847 Enrollment ID: I20150113000029 |
| Provider Name | Kavitha Chidambaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225317068 PECOS PAC ID: 9830416296 Enrollment ID: I20150323002438 |
| Provider Name | Charlene S Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417247743 PECOS PAC ID: 6406161827 Enrollment ID: I20150813012124 |
| Provider Name | Sonia Raheja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134477821 PECOS PAC ID: 4688989478 Enrollment ID: I20150824001336 |
| Provider Name | Prisila A Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598141384 PECOS PAC ID: 9234447384 Enrollment ID: I20151009000692 |
| Provider Name | Maragadham Balu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922034339 PECOS PAC ID: 8426281759 Enrollment ID: I20160621001294 |
| Provider Name | My-phuc Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356739973 PECOS PAC ID: 2264725308 Enrollment ID: I20160726003079 |
| Provider Name | Dana A Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518038785 PECOS PAC ID: 1052698396 Enrollment ID: I20170515001734 |
| Provider Name | Rajeshwari Nagaraja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932495777 PECOS PAC ID: 7618114513 Enrollment ID: I20170525001045 |
| Provider Name | Kyaw M Min |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942604665 PECOS PAC ID: 2062780596 Enrollment ID: I20170623002414 |
| Provider Name | Inderjeet K Bhamra |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265753990 PECOS PAC ID: 7012142458 Enrollment ID: I20170724002819 |
| Provider Name | Jasbir Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871911578 PECOS PAC ID: 0840561072 Enrollment ID: I20170807003055 |
| Provider Name | Jennifer Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255745311 PECOS PAC ID: 0547532525 Enrollment ID: I20170825002155 |
| Provider Name | Can Jiang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629482781 PECOS PAC ID: 1850664160 Enrollment ID: I20170908001110 |
| Provider Name | Margarette J Shegog |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508202821 PECOS PAC ID: 0345481743 Enrollment ID: I20170916000566 |
| Provider Name | Takudzwa Shumba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144634205 PECOS PAC ID: 5294000444 Enrollment ID: I20171013002079 |
| Provider Name | Vinh B Cai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255859872 PECOS PAC ID: 2668738345 Enrollment ID: I20171113003232 |
| Provider Name | Tammy S Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639681513 PECOS PAC ID: 9931467834 Enrollment ID: I20171226001080 |
| Provider Name | Jatinder Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558818054 PECOS PAC ID: 5698053544 Enrollment ID: I20180223000658 |
| Provider Name | Rachel S Sussman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184064396 PECOS PAC ID: 5395006811 Enrollment ID: I20180226001376 |
| Provider Name | Poorna C Thirugnanasambandam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407223217 PECOS PAC ID: 6305108564 Enrollment ID: I20180328000695 |
| Provider Name | Alicia-jay J Esposo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235647298 PECOS PAC ID: 3173888393 Enrollment ID: I20180517001081 |
| Provider Name | Christopher Solis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952839110 PECOS PAC ID: 5890042337 Enrollment ID: I20180716001538 |
| Provider Name | Bintu Baby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245737170 PECOS PAC ID: 6305194580 Enrollment ID: I20180803001519 |
| Provider Name | Michelle Yixiao Engle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619381779 PECOS PAC ID: 1254682693 Enrollment ID: I20180924001379 |
| Provider Name | Pamela G Gudino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346720109 PECOS PAC ID: 1557615234 Enrollment ID: I20181115001527 |
| Provider Name | Susan Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386088599 PECOS PAC ID: 9638474125 Enrollment ID: I20190215002822 |
| Provider Name | Amit K Bhakhri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962847830 PECOS PAC ID: 1557641198 Enrollment ID: I20190521001690 |
| Provider Name | Susan Kam Mah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710117189 PECOS PAC ID: 5991038838 Enrollment ID: I20190610001305 |
| Provider Name | John Vinh Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326421827 PECOS PAC ID: 4486988912 Enrollment ID: I20190702003547 |
| Provider Name | Jeffrey Cheng-ta Peng |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1538541255 PECOS PAC ID: 8123356490 Enrollment ID: I20190823002410 |
| Provider Name | Albert Hung Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750776647 PECOS PAC ID: 8527399641 Enrollment ID: I20191003002319 |
| Provider Name | Janyce Ruthann Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063697001 PECOS PAC ID: 6901134352 Enrollment ID: I20200603000609 |
| Provider Name | Suenia Y Villagerardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720531585 PECOS PAC ID: 1951722768 Enrollment ID: I20200603002007 |
| Provider Name | Lucia Tome |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760910467 PECOS PAC ID: 6406272467 Enrollment ID: I20200820002916 |
| Provider Name | Frances G Respicio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871856575 PECOS PAC ID: 7315366192 Enrollment ID: I20200928002447 |
| Provider Name | Katora M Yellow Horse-ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508396110 PECOS PAC ID: 6103236948 Enrollment ID: I20201105000869 |
| Provider Name | Pedro Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043717218 PECOS PAC ID: 7113328899 Enrollment ID: I20210701002449 |
| Provider Name | Suk M Ko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932631736 PECOS PAC ID: 8123448099 Enrollment ID: I20210804004052 |
| Provider Name | Kristina Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619544897 PECOS PAC ID: 6305241035 Enrollment ID: I20210818003525 |
| Provider Name | Esme Therese Roddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710552450 PECOS PAC ID: 7911396445 Enrollment ID: I20211122002314 |
| Provider Name | Anu Khanal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740943174 PECOS PAC ID: 0941692511 Enrollment ID: I20220112001237 |
| Provider Name | Sayuri Uotani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528347408 PECOS PAC ID: 6709051295 Enrollment ID: I20220216001066 |
| Provider Name | Gabriel Alan Goldfien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992369805 PECOS PAC ID: 8527449701 Enrollment ID: I20220719002764 |
| Provider Name | Grace Eunhae Kang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437704723 PECOS PAC ID: 4880075720 Enrollment ID: I20220722002359 |
| Provider Name | Manuel Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033130810 PECOS PAC ID: 9931290004 Enrollment ID: I20220801000698 |
| Provider Name | Teresita Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174020192 PECOS PAC ID: 8820470891 Enrollment ID: I20220808001905 |
| Provider Name | Oya Seyalioglu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457657132 PECOS PAC ID: 6406108760 Enrollment ID: I20220813000416 |
| Provider Name | Cory Fung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730821141 PECOS PAC ID: 4486037900 Enrollment ID: I20220816003825 |
| Provider Name | Parveen Kaur Bhatia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639810997 PECOS PAC ID: 2365826633 Enrollment ID: I20220906001326 |
| Provider Name | Amal Yusuf Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083177042 PECOS PAC ID: 5395121040 Enrollment ID: I20221003002788 |
| Provider Name | Kevin Kao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689304669 PECOS PAC ID: 1052785268 Enrollment ID: I20230329001361 |
| Provider Name | Tamara Strong-chavez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326495003 PECOS PAC ID: 7012374358 Enrollment ID: I20230601001512 |
| Provider Name | Celina Allyn Mercer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245850585 PECOS PAC ID: 2062872310 Enrollment ID: I20230718001969 |
| Provider Name | Rachel Suzanne Voight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164042768 PECOS PAC ID: 4385006857 Enrollment ID: I20230815002962 |
| Provider Name | John Howard Pollack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225657513 PECOS PAC ID: 9638532633 Enrollment ID: I20230823003407 |
| Provider Name | Lu Meng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356034987 PECOS PAC ID: 9830544170 Enrollment ID: I20231006001064 |
| Provider Name | Diana Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073136057 PECOS PAC ID: 3971914458 Enrollment ID: I20240228002646 |
| Provider Name | Sophia Angelica Gaoiran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245000504 PECOS PAC ID: 1759723992 Enrollment ID: I20240520003334 |
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 | |
Tuan Le, M.d. A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Lexann Ave, Suite 122, San Jose, CA 95121 Phone: 408-531-1555 | |
Frank D. Shin, Md, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1440 S De Anza Blvd, Suite A, San Jose, CA 95129 Phone: 408-366-0405 | |
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 |