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FOOTHILL MEDICAL CLINIC INC
NPI 1417345323
Internal Medicine in Cupertino, CA

Active since December 30, 2014CLIA 05D0947079 · Waiver
10011 N FOOTHILL BLVD, SUITE #105, CUPERTINO, CA 95014(408) 366-0600(408) 366-0609 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Foothill Medical Clinic Inc NPPES

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

FOOTHILL MEDICAL CLINIC INC (NPI 1417345323) is a healthcare organization registered as an internal medicine in Cupertino, California and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Gabriel Jang-jyh Young, M.d., as its authorized official.

NPPES Registry Identity

NPI1417345323
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFOOTHILL MEDICAL CLINIC INC
Location Address10011 N FOOTHILL BLVD, SUITE #105Cupertino, CA 95014-5649
Mailing Address10011 N Foothill Blvd, Suite #105Cupertino, CA 95014-5649 · (408) 366-0600 · Fax (408) 366-0609
Phone(408) 366-0600
Fax(408) 366-0609
Organization SubpartNo
Authorized OfficialGabriel Jang-jyh YoungM.d. · (408) 366-0600
Enumeration DateDecember 30, 2014
✔ NPI 1417345323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10011 N FOOTHILL BLVD, Cupertino, CA 95014
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 of Waiver 05D0947079

Foothill Medical Clinic · Cupertino, CA
Active · expires Jun 8, 2028
CLIA Number05D0947079
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorGabriel J. Young
Laboratory Phone(408) 366-0600
Laboratory LocationFoothill Medical Clinic10011 N Foothill Blvd, #105, Cupertino, CA 95014
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

JOY ANN HO
Occupational Therapist
10011 N FOOTHILL BLVD
CUPERTINO, CA 95014
Santa Clara County (408) 865-1365
DEVELOPMENT IS CHILD'S PLAY
Occupational Therapist
10011 N FOOTHILL BLVD, SUITE 109
CUPERTINO, CA 95014
Santa Clara County (408) 865-1365
DR. DONNA MARIE COTNER D.D.S.
Dentist (General Practice)
10011 N FOOTHILL BLVD, SUITE 112
CUPERTINO, CA 95014
Santa Clara County (408) 255-2550
DR. GABRIEL JANG-JYH YOUNG M.D.
Internal Medicine
10011 N FOOTHILL BLVD, SUITE #105
CUPERTINO, CA 95014
Santa Clara County (408) 366-0600

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 Foothill Medical Clinic Inc's NPI number?

The NPI number for Foothill Medical Clinic Inc is 1417345323. It was assigned to this organization in the NPPES registry on December 30, 2014.

Where is Foothill Medical Clinic Inc located?

Foothill Medical Clinic Inc is located at 10011 N Foothill Blvd Suite #105, Cupertino, CA 95014. The listed phone number is (408) 366-0600.

What is Foothill Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Foothill Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0947079) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Foothill Medical Clinic Inc was last updated on December 30, 2014. 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.