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SAN JOSE CITY COLLEGE STUDENT HEALTH SERVICES
NPI 1396792875
Clinic/Center - Student Health in San Jose, CA

Active since May 28, 2006CLIA 05D0703843 · Microscopy
2100 MOORPARK AVE, SC109, SAN JOSE, CA 95128(408) 288-3724(408) 297-4865 Get Directions Write a Review

NPPES record last updated: November 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Jose City College Student Health Services NPPES

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

SAN JOSE CITY COLLEGE STUDENT HEALTH SERVICES (NPI 1396792875) is a healthcare organization registered as a student health in San Jose, California and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through June 20, 2027 and lists Janet Chang, Director Of Health Services, as its authorized official.

NPPES Registry Identity

NPI1396792875
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameSAN JOSE CITY COLLEGE STUDENT HEALTH SERVICES
Location Address2100 MOORPARK AVE, SC109San Jose, CA 95128-2723
Mailing Address2100 Moorpark Ave, Sc109San Jose, CA 95128-2723 · (408) 288-3724 · Fax (408) 297-4865
Phone(408) 288-3724
Fax(408) 297-4865
Organization SubpartNo
Authorized OfficialJanet ChangDirector Of Health Services · (408) 288-3821
Enumeration DateMay 28, 2006
Last NPPES UpdateNovember 6, 2015
✔ NPI 1396792875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
2100 MOORPARK AVE, San Jose, CA 95128
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0703843

San Jose City College Student Health Services · San Jose, CA
Active · expires Jun 20, 2027
CLIA Number05D0703843
Laboratory TypeSchool/Student Health Service
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorToni A. Moos MD
Laboratory Phone(408) 288-3724
Laboratory LocationSan Jose City College Student Health Services2100 Moorpark Avenue, Room Sc109, San Jose, CA 95128
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JANET REID R.N.
Registered Nurse (College Health)
2100 MOORPARK AVE, ROOM SC-109
SAN JOSE, CA 95128
Santa Clara County (408) 288-3724
SHARON STUDDERT R.N.
Registered Nurse (College Health)
2100 MOORPARK AVE, SC-109
SAN JOSE, CA 95128
Santa Clara County (408) 288-3724
MRS. KATHLEEN LYONS BARZEGAR R.N.
Registered Nurse (College Health)
2100 MOORPARK AVE, SC-109
SAN JOSE, CA 95128
Santa Clara County (408) 288-3724
DR. TONI MOOS M.D.
Family Medicine
2100 MOORPARK AVE, ROOM SC-109
SAN JOSE, CA 95128
Santa Clara County (408) 288-3724
MS. JANET CHANG R.N.
Registered Nurse (College Health)
2100 MOORPARK AVE, ROOM SC-109
SAN JOSE, CA 95128
Santa Clara County (408) 288-3724

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 City College Student Health Services's NPI number?

The NPI number for San Jose City College Student Health Services is 1396792875. It was assigned to this organization in the NPPES registry on May 28, 2006.

Where is San Jose City College Student Health Services located?

San Jose City College Student Health Services is located at 2100 Moorpark Ave Sc109, San Jose, CA 95128. The listed phone number is (408) 288-3724.

What is San Jose City College Student Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Does San Jose City College Student Health Services hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0703843) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Jose City College Student Health Services was last updated on November 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.