INDIAN HEALTH CENTER OF SANTA CLARA VALLEY - NPI 1629236500

Q: What is Indian Health Center Of Santa Clara Valley's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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About Indian Health Center Of Santa Clara Valley NPPES

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

INDIAN HEALTH CENTER OF SANTA CLARA VALLEY (NPI 1629236500) is a healthcare organization registered as a multi-specialty in San Jose, California and active in the NPI registry since May 2008. The organization maintains a secondary practice location in San Jose and lists Wanda E Edmo, Human Resource Director, as its authorized official.

NPPES Registry Identity

NPI1629236500

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameINDIAN HEALTH CENTER OF SANTA CLARA VALLEY

Location Address602 E SANTA CLARA ST, SUITE 230San Jose, CA 95112-1908

Mailing Address1333 Meridian AveSan Jose, CA 95125-5212 · (408) 445-3400 · Fax (408) 448-1041

Phone(408) 445-3400

Fax(408) 448-1041

Organization SubpartNo

Authorized OfficialWanda E EdmoHuman Resource Director · (408) 445-3400

Enumeration DateMay 28, 2008

Last NPPES UpdateNovember 7, 2024

NPPES CertifiedNovember 7, 2024

✔ NPI 1629236500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

License✔ Licensed in CA · 070000118

602 E SANTA CLARA ST, San Jose, CA 95112

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Secondary Practice Location 1

Location 11118 Meridian Ave Ste 100San Jose, CA 95125-4351 · Phone (408) 445-3400

Other Identifiers 2

OtherEAP11833FCA · Eapc

OtherFHC11833FCA · Medical

Other Providers at the Same Location NPPES 11

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

ANECITA YAZHI MILLER

Rehabilitation Practitioner