INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
NPI 1518240118
Clinic/Center - Mental Health (Including Community Mental Health Center) in San Jose, CA

NPI Status: Active since September 21, 2011

Contact Information

602 E SANTA CLARA ST
SUITE 230
SAN JOSE, CA
ZIP 95112
Phone: (408) 445-3400
Fax: (408) 998-8070

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About INDIAN HEALTH CENTER OF SANTA CLARA VALLEY

This page provides the complete NPI Profile along with additional information for Indian Health Center Of Santa Clara Valley, a provider established in San Jose, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1518240118 assigned on September 2011. The practitioner's primary taxonomy code is 261QM0801X with license number 070000482 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Wanda E Edmo (Human Resource Director)

NPI
1518240118
Provider Name
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
Entity Type
Organization
Location Address
602 E SANTA CLARA ST SUITE 230 SAN JOSE, CA 95112
Location Phone
(408) 445-3400
Location Fax
(408) 998-8070
Mailing Address
1333 MERIDIAN AVE SAN JOSE, CA 95125
Mailing Phone
(408) 445-3400
Mailing Fax
(408) 998-8070
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-21-2011
Last Update Date
09-21-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
070000482
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WANDA E EDMO

Authorized Official Title
HUMAN RESOURCE DIRECTOR
Authorized Official Phone
(408) 445-3400

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
FHC11833FOTHER (01)CAMEDICAL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518240118
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
252844012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 4 + 4 + 0 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1518240118 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528342995INDIAN HEALTH CENTER OF SANTA CLARA
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))602 E SANTA CLARA ST SUITE 230
SAN JOSE, CA 95112
(408) 445-3400
1346591807MS. ARIANA LEAH DAVDISON MSW
Individual
Social Worker (Clinical)602 E SANTA CLARA ST
SAN JOSE, CA 95112
(408) 445-3430
1386982007MR. MICHAEL ALAN BENNETT CADC1
Individual
Community Health Worker602 E SANTA CLARA ST
SAN JOSE, CA 95112
(408) 445-3400
1124307525 DANIEL EDWARD PENSLER
Individual
Social Worker (Clinical)602 E SANTA CLARA ST
SAN JOSE, CA 95112
(408) 445-3400
1801159280MS. ELISA MARINA ALVARADO LCSW
Individual
Counselor (Mental Health)602 E SANTA CLARA ST
SAN JOSE, CA 95112
(408) 445-3400
1386033140 APRYL DIANE KENNEDY
Individual
Counselor (Addiction (Substance Use Disorder))602 E SANTA CLARA ST
SAN JOSE, CA 95112
(408) 445-3400
1699154138MISS STEPHANIE GREGORY
Individual
Case Manager/Care Coordinator602 E SANTA CLARA ST 230
SAN JOSE, CA 95112
(408) 445-3400
1366726903INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))602 E SANTA CLARA ST
SAN JOSE, CA 95112
(408) 445-3400
1629236500INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
Organization
Clinic/Center (Multi-Specialty)602 E SANTA CLARA ST SUITE 230
SAN JOSE, CA 95112
(408) 445-3400
1003166919 ANECITA YAZHI MILLER
Individual
Rehabilitation Practitioner602 E SANTA CLARA ST
SAN JOSE, CA 95112
(408) 445-3400
1679823595 MICHAEL BELLANGER ANDREWS
Individual
Rehabilitation Practitioner602 E SANTA CLARA ST
SAN JOSE, CA 95112
(408) 445-3400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518240118, enumerated in the NPI registry as an "organization" on September 21, 2011

The provider is located at 602 E Santa Clara St Suite 230 San Jose, Ca 95112 and the phone number is (408) 445-3400

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 21, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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