SAN JOSE CLINIC - NPI 1750674321 - Clinic/Center in Houston, TX

Q: What is San Jose Clinic's NPI number?

The NPI number for San Jose Clinic is 1750674321. It was assigned to this organization in the NPPES registry on May 16, 2011.

Q: What is San Jose Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Q: When was this NPI record last updated?

The NPPES record for San Jose Clinic was last updated on September 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About San Jose Clinic NPPES

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

SAN JOSE CLINIC (NPI 1750674321) is a healthcare organization registered as a community health in Houston, Texas and active in the NPI registry since May 2011. The organization lists Margo Melchor-hernandez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750674321

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NameSAN JOSE CLINIC

Location Address2615 FANNIN STHouston, TX 77002-9224

Mailing Address2615 Fannin StHouston, TX 77002-9224 · (713) 228-9411 · Fax (713) 228-2612

Phone(713) 228-9411

Fax(713) 228-2612

Organization SubpartNo

Authorized OfficialMargo Melchor-hernandezCeo · (713) 228-9411

Enumeration DateMay 16, 2011

Last NPPES UpdateSeptember 26, 2023

NPPES CertifiedSeptember 26, 2023

✔ NPI 1750674321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

2615 FANNIN ST, Houston, TX 77002

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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 45D0489337

San Jose Clinic · Houston, TX

Expired · May 23, 2026

CLIA Number45D0489337

Laboratory TypeCharitable Non Profit

Certificate Effective DateMay 24, 2024

Certificate Expiration DateMay 23, 2026

Laboratory DirectorMichael Rytting

Laboratory Phone(713) 490-2617

Laboratory LocationSan Jose Clinic2615 Fannin St, Houston, TX 77002

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

SUSANA REBECA ZAMBRANO LMFT-A

Marriage & Family Therapist