FOOTHILL COMMUNITY MOBILE CLINIC
NPI 1306223615
Clinic/Center - Federally Qualified Health Center (FQHC) in San Jose, CA
About Foothill Community Mobile Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOOTHILL COMMUNITY MOBILE CLINIC (NPI 1306223615) is a healthcare organization registered as a federally qualified health center (fqhc) in San Jose, California and active in the NPI registry since May 2015. The organization lists Salvador Chavarin, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1306223615. It was assigned to this organization in the NPPES registry on May 6, 2015. The provider is doing business as Foothill Community Mobile Clinic.
Where is San Jose Foothill Family Community Clinic, Inc. located?
San Jose Foothill Family Community Clinic, Inc. is located at 2880 Story Rd Suite 10, San Jose, CA 95127. The listed phone number is (408) 729-9700.
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 May 6, 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.
# Foothill Community Mobile Clinic · NPI 1306223615
Federally Qualified Health Center (FQHC) organization in San Jose, California. Organization record, active in the CMS NPPES registry since May 6, 2015.
## Identity
- **NPI:** 1306223615 (Entity type: Organization)
- **Enumerated:** May 6, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** San Jose Foothill Family Community Clinic, Inc.
- **Organization subpart:** Yes (part of San Jose Foothill Family Community Clinic, Inc.)
- **Authorized official:** Salvador Chavarin, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 2880 STORY RD, SUITE 10, San Jose, CA 95127-3942
- **Phone:** (408) 729-9700
## Record status
- **NPPES last updated:** May 6, 2015
- **Other identifiers:** Medicare PIN 551869 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1306223615) · Data from the CMS NPPES public registry.