FOOTHILL COMMUNITY HEALTH CENTER
NPI 1063658029
Clinic/Center - Federally Qualified Health Center (FQHC) in San Jose, CA

Active since December 22, 2008
2880 STORY ROAD, SUITE 10, SAN JOSE, CA 95127(408) 755-3920(866) 931-7822 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Foothill Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOOTHILL COMMUNITY HEALTH CENTER (NPI 1063658029) is a healthcare organization registered as a federally qualified health center (fqhc) in San Jose, California and active in the NPI registry since December 2008. The organization lists Salvador Chavarin, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1063658029
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
Location Address2880 STORY ROAD, SUITE 10San Jose, CA 95127-3942
Mailing Address2670 South White Road, Suite 200San Jose, CA 95148-2071 · (408) 729-4290 · Fax (866) 931-7822
Fax(866) 931-7822
Organization SubpartNo
Authorized OfficialSalvador ChavarinChief Executive Officer · (408) 729-4290
Enumeration DateDecember 22, 2008
Last NPPES UpdateJune 11, 2015
NPI 1063658029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License Licensed in CA · 070000436
2880 STORY ROAD, San Jose, CA 95127

Other Names 1

Doing Business AsFoothill Community Health Center

Other Identifiers 1

MedicaidFHC70736FCA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Jose Foothill Family Community Clinic, Inc.'s NPI number?

The NPI number for San Jose Foothill Family Community Clinic, Inc. is 1063658029. It was assigned to this organization in the NPPES registry on December 22, 2008. The provider is doing business as Foothill Community Health Center.

Where is San Jose Foothill Family Community Clinic, Inc. located?

San Jose Foothill Family Community Clinic, Inc. is located at 2880 Story Road Suite 10, San Jose, CA 95127. The listed phone number is (408) 755-3920.

What is San Jose Foothill Family Community Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for San Jose Foothill Family Community Clinic, Inc. was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.