INDIAN HEALTH CENTER
NPI 1629462312
Clinic/Center - Federally Qualified Health Center (FQHC) in San Jose, CA

Active since March 20, 2015
2039 FOREST AVE STE 105, SAN JOSE, CA 95128(408) 445-3400 Get Directions Write a Review

NPPES record last updated: April 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Indian Health Center NPPES

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

INDIAN HEALTH CENTER (NPI 1629462312) is a healthcare organization registered as a federally qualified health center (fqhc) in San Jose, California and active in the NPI registry since March 2015. The organization lists Aldon Wayne Scott, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1629462312
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameINDIAN HEALTH CENTER OF SANTA CLARA VALLEY
Location Address2039 FOREST AVE STE 105San Jose, CA 95128-4815
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 DateMarch 20, 2015
Last NPPES UpdateApril 1, 2015
NPI 1629462312 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
2039 FOREST AVE STE 105, San Jose, CA 95128

Other Names 1

Other NameIndian Health Center

Other Identifiers 6

MedicaidFHC11833FCA
OtherG01133-01CA · Delta Dental
OtherFHC11833FCA · Medi-cal
Medicare UPIN051979CA
OtherFHC11833FCA · State Programs
Other55-1137CA · Medicare Palmetto

Other Providers at the Same Location NPPES 2

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

Pediatrics
2039 FOREST AVE STE 105
SAN JOSE, CA 95128
Pediatrics
2039 FOREST AVE STE 105
SAN JOSE, CA 95128

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 1629462312. It was assigned to this organization in the NPPES registry on March 20, 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 2039 Forest Ave Ste 105, 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.

When was this NPI record last updated?

The NPPES record for Indian Health Center Of Santa Clara Valley was last updated on April 1, 2015. 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.