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INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
NPI 1821564485
Clinic/Center - Federally Qualified Health Center (FQHC) in San Jose, CA

Active since October 22, 2018CLIA 05D2100039 · Microscopy
9501 MALECH RD, SAN JOSE, CA 95138(408) 445-3400(408) 448-1727 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 1821564485) is a healthcare organization registered as a federally qualified health center (fqhc) in San Jose, California and active in the NPI registry since October 2018. The organization holds a CLIA Microscopy certificate valid through August 5, 2027 and lists Aldon Wayne Scott, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1821564485
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameINDIAN HEALTH CENTER OF SANTA CLARA VALLEY
Location Address9501 MALECH RDSan Jose, CA 95138
Mailing Address1333 Meridian AveSan Jose, CA 95125-5212 · (408) 445-3400 · Fax (408) 448-1727
Phone(408) 445-3400
Fax(408) 448-1727
Organization SubpartNo
Authorized OfficialAldon Wayne ScottDirector Of Operations · (408) 445-3400
Enumeration DateOctober 22, 2018
✔ NPI 1821564485 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
9501 MALECH RD, San Jose, CA 95138
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Other Identifiers 1

MedicaidFAC11833FCA

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) 05D2100039

Indian Health Center Of Santa Clara Valley · San Jose, CA
Active · expires Aug 5, 2027
CLIA Number05D2100039
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 6, 2025
Certificate Expiration DateAugust 5, 2027
Laboratory DirectorElizabeth Mccraven
Laboratory Phone(408) 445-3400
Laboratory LocationIndian Health Center Of Santa Clara Valley2039 Forest Ave Ste 105, San Jose, CA 95128
CLIA data matches this NPI record on: Name 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

What is INDIAN HEALTH CENTER OF SANTA CLARA VALLEY's NPI number?

The NPI number assigned to this healthcare provider is 1821564485, enumerated as an "organization" on October 22, 2018.

Where is the provider located?

The provider is located at 9501 MALECH RD SAN JOSE, CA 95138 and the phone number is (408) 445-3400.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

What insurance does INDIAN HEALTH CENTER OF SANTA CLARA VALLEY accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.