EVERGREEN VALLEY COLLEGESTUDENT HEALTH SERVICES
NPI 1497975882
Clinic/Center - Student Health in San Jose, CA

Q: What is San Jose/Evergreen Community College District's specialty?

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

Active since April 26, 2007CLIA 05D1065626 · Microscopy

3095 YERBA BUENA RD, SAN JOSE, CA 95135(408) 270-6480(408) 532-1831 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Evergreen Valley Collegestudent Health Services NPPES

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

EVERGREEN VALLEY COLLEGESTUDENT HEALTH SERVICES (NPI 1497975882) is a healthcare organization registered as a student health in San Jose, California and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through March 5, 2027 and lists Janice Assadi, Director Of Student Health Services, as its authorized official.

NPPES Registry Identity

NPI1497975882

Entity TypeOrganization

Primary Taxonomy261QS1000X

Legal Business NameSAN JOSE/EVERGREEN COMMUNITY COLLEGE DISTRICT

Location Address3095 YERBA BUENA RDSan Jose, CA 95135-1513

Mailing Address3095 Yerba Buena RdSan Jose, CA 95135-1513 · (408) 270-6480 · Fax (408) 532-1831

Phone(408) 270-6480

Fax(408) 532-1831

Organization SubpartNo

Authorized OfficialJanice AssadiDirector Of Student Health Services · (408) 274-7900

Enumeration DateApril 26, 2007

Last NPPES UpdateDecember 18, 2014

✔ NPI 1497975882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities

Taxonomy Code261QS1000X

License✔ Licensed in CA · EXE70004F

3095 YERBA BUENA RD, San Jose, CA 95135

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Other Names 1

Doing Business AsEvergreen Valley Collegestudent Health Services

Other Identifiers 1

MedicaidEXE70004FCA

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) 05D1065626

Evergreen Valley College Student Health Services · San Jose, CA

Active · expires Mar 5, 2027

CLIA Number05D1065626

Laboratory TypeSchool/Student Health Service

Certificate Effective DateMarch 6, 2025

Certificate Expiration DateMarch 5, 2027

Laboratory DirectorToni A. Moos

Laboratory Phone(408) 270-6480

Laboratory LocationEvergreen Valley College Student Health Services3095 Yerba Buena Rd, San Jose, CA 95135

CLIA data matches this NPI record on: Address 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.

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/Evergreen Community College District's NPI number?

The NPI number for San Jose/Evergreen Community College District is 1497975882. It was assigned to this organization in the NPPES registry on April 26, 2007. The provider is doing business as Evergreen Valley Collegestudent Health Services.

Where is San Jose/Evergreen Community College District located?

San Jose/Evergreen Community College District is located at 3095 Yerba Buena Rd, San Jose, CA 95135. The listed phone number is (408) 270-6480.

What is San Jose/Evergreen Community College District's specialty?

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

Does San Jose/Evergreen Community College District hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1065626) is associated with this NPI, valid through March 5, 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/Evergreen Community College District was last updated on December 18, 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.