INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
NPI 1275964488
Clinic/Center - Federally Qualified Health Center (FQHC) in San Jose, CA
About Indian Health Center Of Santa Clara Valley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY (NPI 1275964488) is a healthcare organization registered as a federally qualified health center (fqhc) in San Jose, California and active in the NPI registry since December 2013. The organization maintains a secondary practice location in San Jose and lists Aldon Wayne Scott, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Indian Health Center Of Santa Clara Valley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
65Medicare enrollment records show 65 clinicians reassign Medicare billing to Indian Health Center Of Santa Clara Valley, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 48 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 65Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Indian Health Center Of Santa Clara Valley's NPI number?
The NPI number for Indian Health Center Of Santa Clara Valley is 1275964488. It was assigned to this organization in the NPPES registry on December 13, 2013.
Where is Indian Health Center Of Santa Clara Valley located?
Indian Health Center Of Santa Clara Valley is located at 1118 Meridian Ave Ste 150, San Jose, CA 95125. The listed phone number is (408) 445-3400.
What is Indian Health Center Of Santa Clara Valley's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Indian Health Center Of Santa Clara Valley enrolled in Medicare?
Yes. Indian Health Center Of Santa Clara Valley is registered in the Medicare PECOS enrollment system.
When is Indian Health Center Of Santa Clara Valley's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Indian Health Center Of Santa Clara Valley?
According to the CMS Revalidation Reassignment List (October 2026 release), 65 clinicians in 13 Medicare specialties reassign their Medicare billing to Indian Health Center Of Santa Clara Valley. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (16), Nurse Practitioner (16) and Clinical Social Worker (8). Of these, 7 practice at this address and 48 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Indian Health Center Of Santa Clara Valley was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Indian Health Center Of Santa Clara Valley · NPI 1275964488
Federally Qualified Health Center (FQHC) organization in San Jose, California. Organization record, active in the CMS NPPES registry since December 13, 2013.
## Identity
- **NPI:** 1275964488 (Entity type: Organization)
- **Enumerated:** December 13, 2013
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Aldon Scott, DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 1118 MERIDIAN AVE STE 150, San Jose, CA 95125-4329
- **Phone:** (408) 445-3400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 65 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (16), Nurse Practitioner (16), Clinical Social Worker (8); 7 practice at this address and 48 within 10 miles; [full list](https://npiprofile.com/npi/1275964488/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2025
- **Other identifiers:** Medicaid FHC11833F (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1275964488) · Data from the CMS NPPES public registry.