INDIAN HEALTH CENTER
NPI 1326425265
Clinic/Center - Federally Qualified Health Center (FQHC) in San Jose, CA

Active since April 29, 2015
2030 FOREST AVE STE 110, SAN JOSE, CA 95128(408) 445-3400 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Indian Health Center NPPES

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

INDIAN HEALTH CENTER (NPI 1326425265) is a healthcare organization registered as a federally qualified health center (fqhc) in San Jose, California and active in the NPI registry since April 2015. The organization lists Aldon Wayne Scott, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1326425265
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameINDIAN HEALTH CENTER OF SANTA CLARA VALLEY
Location Address2030 FOREST AVE STE 110San Jose, CA 95128-4833
Mailing Address1333 Meridian AveSan Jose, CA 95125-5212 · (408) 445-3400 · Fax (408) 448-1727
Organization SubpartNo
Authorized OfficialAldon Wayne ScottDirector Of Operations · (408) 445-3400
Enumeration DateApril 29, 2015
Last NPPES UpdateMarch 22, 2017
✔ NPI 1326425265 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 · 70000482
2030 FOREST AVE STE 110, San Jose, CA 95128

Other Names 1

Other NameIndian Health Center

Other Identifiers 5

Other55-1120CA · Medicare Palmetto
OtherFHC11833FCA · State Programs
Medicare PIN051979CA
MedicaidFHC11833FCA
OtherG01133-01CA · Delta Dental

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 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.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120126000250Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

65

Medicare enrollment records show 65 clinicians reassign Medicare billing to Indian Health Center, which bills Medicare for the services they deliver. Of these, 49 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Family Practice16
Nurse Practitioner16
Clinical Social Worker8
Internal Medicine7
Psychiatry6
Clinical Psychologist3
Pediatric Medicine3
Dentist1
5 other specialties5

Nearest to this location (20)

See all 65
Family Practice
NPI 1467741207
2105 FOREST AVE
San Jose, CA 95128
(408) 947-2500
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1184064396
455 OCONNOR DR STE 210
San Jose, CA 95128
(408) 283-7767
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1033349998
455 OCONNOR DR SUITE 200
San Jose, CA 95128
(408) 283-7676
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1891923686
2400 MOORPARK AVE STE 318 VALLEY MEDICAL CENTER DEPARTMENT OF MEDICINE
San Jose, CA 95128
(408) 885-7682
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1558818054
751 S BASCOM AVE
San Jose, CA 95128
(408) 306-9901
✔ PECOS0.9 mi
Clinical Social Worker
NPI 1073876694
2425 ENBORG LN
San Jose, CA 95128
(408) 885-5400
✔ PECOS✔ Accepts Medicare1.0 mi
Clinical Social Worker
NPI 1831668029
1118 MERIDIAN AVE STE 150
San Jose, CA 95125
(408) 445-8172
✔ PECOS2.0 mi
Mental Health Counselor
NPI 1568078921
1118 MERIDIAN AVE
San Jose, CA 95125
(408) 445-8172
✔ PECOS✔ Accepts Medicare2.0 mi
Psychiatry
NPI 1952406605
1118 MERIDIAN AVE
San Jose, CA 95125
(408) 445-8172
✔ PECOS2.0 mi
Clinical Psychologist
NPI 1730239914
1118 MERIDIAN AVE STE 150
San Jose, CA 95125
(408) 445-8172
✔ PECOS✔ Accepts Medicare2.0 mi
Psychiatry
NPI 1134477821
1118 MERIDIAN AVE STE 150
San Jose, CA 95125
(408) 445-8172
✔ PECOS2.0 mi
Clinical Psychologist
NPI 1326495003
1118 MERIDIAN AVE STE 150
San Jose, CA 95125
(408) 445-8172
✔ PECOS2.0 mi
Clinical Social Worker
NPI 1508396110
1118 MERIDIAN AVE STE 150
San Jose, CA 95125
(408) 445-8172
✔ PECOS2.0 mi
Nurse Practitioner
NPI 1639055742
1333 MERIDIAN AVE
San Jose, CA 95125
(408) 445-3400
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1366047292
1333 MERIDIAN AVE
San Jose, CA 95125
(408) 445-3400
✔ PECOS✔ Accepts Medicare2.0 mi
Internal Medicine
NPI 1437284775
1333 MERIDIAN AVE
San Jose, CA 95125
(408) 445-3400
✔ PECOS✔ Accepts Medicare2.0 mi
Dentist
NPI 1023271053
1333 MERIDIAN AVE
San Jose, CA 95125
(408) 445-3400
✔ PECOS2.0 mi
Pediatric Medicine
NPI 1538231360
1333 MERIDIAN AVE
San Jose, CA 95125
(408) 445-3400
✔ PECOS2.0 mi
Family Practice
NPI 1386088599
1333 MERIDIAN AVE
San Jose, CA 95125
(408) 445-3400
✔ PECOS✔ Accepts Medicare2.0 mi
Sports Medicine
NPI 1538541255
50 E HAMILTON AVE STE 120
Campbell, CA 95008
(408) 357-1410
✔ PECOS✔ Accepts Medicare2.4 mi
See all 65 clinicians

Source: 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 1326425265. It was assigned to this organization in the NPPES registry on April 29, 2015. The provider is also known as Indian Health Center.

Where is Indian Health Center Of Santa Clara Valley located?

Indian Health Center Of Santa Clara Valley is located at 2030 Forest Ave Ste 110, San Jose, CA 95128. 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, 49 practice 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 March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.