Indian Health Center Of Santa Clara Valley - Medicare Primary Care in San Jose, CA

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Indian Health Center Of Santa Clara Valley is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in San Jose, California. The current practice location for Indian Health Center Of Santa Clara Valley is 1642 E Capitol Expy, San Jose, California. For appointments, you can reach them via phone at (408) 445-3400. The mailing address for Indian Health Center Of Santa Clara Valley is 1333 Meridian Ave, San Jose, California and phone number is (408) 445-3400.

Indian Health Center Of Santa Clara Valley is licensed to practice in California (license number 550001783). The clinic also participates in the medicare program and its NPI number is 1881997963. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (408) 445-3400.

Contact Information

Indian Health Center Of Santa Clara Valley
1642 E Capitol Expy
San Jose
CA 95121-1800
(408) 445-3400
(408) 448-1727

Map and Direction


Primary Care Clinic Profile

Full NameIndian Health Center Of Santa Clara Valley
SpecialityClinic/Center
Location1642 E Capitol Expy, San Jose, California
Authorized Official Name and PositionAldon Wayne Scott (DIRECTOR OF OPERATIONS)
Authorized Official Contact4084453400
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Indian Health Center Of Santa Clara Valley
1333 Meridian Ave
San Jose
CA 95125-5212

Ph: (408) 445-3400		Indian Health Center Of Santa Clara Valley
1642 E Capitol Expy
San Jose
CA 95121-1800

Ph: (408) 445-3400

NPI Details:

NPI Number1881997963
Provider Enumeration Date12/13/2010
Last Update Date02/07/2013

Medicare PECOS Information:

Medicare PECOS PAC ID1153406665
Medicare Enrollment IDO20120126000250

Medical Identifiers

Medical identifiers for Indian Health Center Of Santa Clara Valley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881997963NPI-NPPES
55-1120OtherCAMEDICARE PALMETTO
FHC11833FMedicaidCA
FHC11833FOtherCASTATE PROGRAMS
G01133-01OtherCADELTA DENTAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 550001783 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Indian Health Center Of Santa Clara Valley acts as a billing entity for following providers:
Provider NameMichael M Quach
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1255542577
PECOS PAC ID: 1254320336
Enrollment ID: I20040512000782
Provider NameMaria Lucinda D Esmundo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992810394
PECOS PAC ID: 3779541628
Enrollment ID: I20041227000108
Provider NameHemalatha Vangala
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356374029
PECOS PAC ID: 0749229151
Enrollment ID: I20050426000590
Provider NameTrinh H Tran
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780758383
PECOS PAC ID: 9335248301
Enrollment ID: I20070616000095
Provider NameMichael B Stevens
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922184506
PECOS PAC ID: 3678473865
Enrollment ID: I20070710000886
Provider NameSusan S Campbell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437284775
PECOS PAC ID: 5597857508
Enrollment ID: I20070822001041
Provider NamePaul Rohde Heberlein
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1730239914
PECOS PAC ID: 6507939238
Enrollment ID: I20080714000542
Provider NameKristie Treftz
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1952585416
PECOS PAC ID: 0749348662
Enrollment ID: I20081022000231
Provider NameAnupama Balakrishnan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821034232
PECOS PAC ID: 2365500022
Enrollment ID: I20081023000814
Provider NameGerald H Bausek
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1508921958
PECOS PAC ID: 7416019831
Enrollment ID: I20081218000764
Provider NameArunasri Kelleti
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003080243
PECOS PAC ID: 3678635521
Enrollment ID: I20081231000175
Provider NameLeena Badhwar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265466874
PECOS PAC ID: 4486717402
Enrollment ID: I20090116000166
Provider NameBridget Harrison
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891923686
PECOS PAC ID: 4385784800
Enrollment ID: I20091214000777
Provider NameAmy V Watson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033349998
PECOS PAC ID: 2961543426
Enrollment ID: I20100105000749
Provider NameAngelica Andrade-silverman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558443531
PECOS PAC ID: 8123163680
Enrollment ID: I20100309000007
Provider NameRupal Nayan Desai
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1992750053
PECOS PAC ID: 0244240604
Enrollment ID: I20100617000205
Provider NameBarbara A Peters
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1417955741
PECOS PAC ID: 1153445739
Enrollment ID: I20100903000124
Provider NameRosemarie D Bersabe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730478488
PECOS PAC ID: 3274700331
Enrollment ID: I20120113000211
Provider NameLinh T Dang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467741207
PECOS PAC ID: 7618132333
Enrollment ID: I20120703000266
Provider NameElizabeth J Mccraven
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922316082
PECOS PAC ID: 7214187715
Enrollment ID: I20121018000257
Provider NameLisa L Whelan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073876694
PECOS PAC ID: 6608020391
Enrollment ID: I20130205000268
Provider NameZaha F Husaini
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356520019
PECOS PAC ID: 6901043264
Enrollment ID: I20130507000048
Provider NameSonya Lobana
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659502136
PECOS PAC ID: 1052558988
Enrollment ID: I20130513000218
Provider NameJulie E Priest
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568483675
PECOS PAC ID: 7911145214
Enrollment ID: I20130528000512
Provider NameJesse Rokicki-parashar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689980195
PECOS PAC ID: 1254578644
Enrollment ID: I20130530000561
Provider NameAkbar Zikria
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679848360
PECOS PAC ID: 4082855424
Enrollment ID: I20130726000271
Provider NameVyjayanti Ramaswamy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730110784
PECOS PAC ID: 1456313915
Enrollment ID: I20140313001785
Provider NameMaryam Hassanpour
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154742831
PECOS PAC ID: 7618196999
Enrollment ID: I20140918001489
Provider NameNivedita Lakhera
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730399387
PECOS PAC ID: 3173691847
Enrollment ID: I20150113000029
Provider NameKavitha Chidambaram
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225317068
PECOS PAC ID: 9830416296
Enrollment ID: I20150323002438
Provider NameCharlene S Fernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417247743
PECOS PAC ID: 6406161827
Enrollment ID: I20150813012124
Provider NameSonia Raheja
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1134477821
PECOS PAC ID: 4688989478
Enrollment ID: I20150824001336
Provider NamePrisila A Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598141384
PECOS PAC ID: 9234447384
Enrollment ID: I20151009000692
Provider NameMaragadham Balu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922034339
PECOS PAC ID: 8426281759
Enrollment ID: I20160621001294
Provider NameMy-phuc Le
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356739973
PECOS PAC ID: 2264725308
Enrollment ID: I20160726003079
Provider NameRajeshwari Nagaraja
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932495777
PECOS PAC ID: 7618114513
Enrollment ID: I20170525001045
Provider NameKyaw M Min
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942604665
PECOS PAC ID: 2062780596
Enrollment ID: I20170623002414
Provider NameInderjeet K Bhamra
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1265753990
PECOS PAC ID: 7012142458
Enrollment ID: I20170724002819
Provider NameJasbir Singh
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871911578
PECOS PAC ID: 0840561072
Enrollment ID: I20170807003055
Provider NameJennifer Tran
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255745311
PECOS PAC ID: 0547532525
Enrollment ID: I20170825002155
Provider NameCan Jiang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629482781
PECOS PAC ID: 1850664160
Enrollment ID: I20170908001110
Provider NameMargarette J Shegog
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508202821
PECOS PAC ID: 0345481743
Enrollment ID: I20170916000566
Provider NameTakudzwa Shumba
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144634205
PECOS PAC ID: 5294000444
Enrollment ID: I20171013002079
Provider NameTammy S Hwang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639681513
PECOS PAC ID: 9931467834
Enrollment ID: I20171226001080
Provider NameJatinder Dhillon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558818054
PECOS PAC ID: 5698053544
Enrollment ID: I20180223000658
Provider NameRachel S Sussman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184064396
PECOS PAC ID: 5395006811
Enrollment ID: I20180226001376
Provider NamePoorna C Thirugnanasambandam
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407223217
PECOS PAC ID: 6305108564
Enrollment ID: I20180328000695
Provider NameAlicia-jay J Esposo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235647298
PECOS PAC ID: 3173888393
Enrollment ID: I20180517001081
Provider NameChristopher Solis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952839110
PECOS PAC ID: 5890042337
Enrollment ID: I20180716001538
Provider NameBintu Baby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245737170
PECOS PAC ID: 6305194580
Enrollment ID: I20180803001519
Provider NameMichelle Yixiao Engle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619381779
PECOS PAC ID: 1254682693
Enrollment ID: I20180924001379
Provider NameSusan Long
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386088599
PECOS PAC ID: 9638474125
Enrollment ID: I20190215002822
Provider NameAmit K Bhakhri
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1962847830
PECOS PAC ID: 1557641198
Enrollment ID: I20190521001690
Provider NameSusan Kam Mah
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710117189
PECOS PAC ID: 5991038838
Enrollment ID: I20190610001305
Provider NameJohn Vinh Pham
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326421827
PECOS PAC ID: 4486988912
Enrollment ID: I20190702003547
Provider NameJeffrey Cheng-ta Peng
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1538541255
PECOS PAC ID: 8123356490
Enrollment ID: I20190823002410
Provider NameAlbert Hung Nguyen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750776647
PECOS PAC ID: 8527399641
Enrollment ID: I20191003002319
Provider NameJanyce Ruthann Berg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063697001
PECOS PAC ID: 6901134352
Enrollment ID: I20200603000609
Provider NameSuenia Yvonne Villa
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720531585
PECOS PAC ID: 1951722768
Enrollment ID: I20200603002007
Provider NameFrances G Respicio
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871856575
PECOS PAC ID: 7315366192
Enrollment ID: I20200928002447
Provider NameKatora M Yellow Horse-ruiz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508396110
PECOS PAC ID: 6103236948
Enrollment ID: I20201105000869
Provider NamePedro Alvarez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043717218
PECOS PAC ID: 7113328899
Enrollment ID: I20210701002449
Provider NameSuk M Ko
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932631736
PECOS PAC ID: 8123448099
Enrollment ID: I20210804004052
Provider NameKristina Yu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619544897
PECOS PAC ID: 6305241035
Enrollment ID: I20210818003525
Provider NameEsme Therese Roddy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710552450
PECOS PAC ID: 7911396445
Enrollment ID: I20211122002314
Provider NameSayuri Uotani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528347408
PECOS PAC ID: 6709051295
Enrollment ID: I20220216001066
Provider NameGabriel Alan Goldfien
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992369805
PECOS PAC ID: 8527449701
Enrollment ID: I20220719002764
Provider NameGrace Eunhae Kang
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437704723
PECOS PAC ID: 4880075720
Enrollment ID: I20220722002359
Provider NameManuel Chavez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033130810
PECOS PAC ID: 9931290004
Enrollment ID: I20220801000698
Provider NameTeresita Gomez
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1174020192
PECOS PAC ID: 8820470891
Enrollment ID: I20220808001905
Provider NameOya Seyalioglu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457657132
PECOS PAC ID: 6406108760
Enrollment ID: I20220813000416
Provider NameCory Fung
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730821141
PECOS PAC ID: 4486037900
Enrollment ID: I20220816003825
Provider NameParveen Kaur Bhatia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639810997
PECOS PAC ID: 2365826633
Enrollment ID: I20220906001326
Provider NameAmal Yusuf Hassan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083177042
PECOS PAC ID: 5395121040
Enrollment ID: I20221003002788
Provider NameAnjusha Sasikumar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346971314
PECOS PAC ID: 8123496429
Enrollment ID: I20221117001074
Provider NameKevin Kao
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689304669
PECOS PAC ID: 1052785268
Enrollment ID: I20230329001361
Provider NameTamara Strong-chavez
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1326495003
PECOS PAC ID: 7012374358
Enrollment ID: I20230601001512
Provider NameCelina Allyn Mercer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245850585
PECOS PAC ID: 2062872310
Enrollment ID: I20230718001969
Provider NameRachel Suzanne Liodakis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164042768
PECOS PAC ID: 4385006857
Enrollment ID: I20230815002962
Provider NameJohn Pollack
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225657513
PECOS PAC ID: 9638532633
Enrollment ID: I20230823003407
Provider NameLu Meng
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356034987
PECOS PAC ID: 9830544170
Enrollment ID: I20231006001064
Provider NameDiana Chen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073136057
PECOS PAC ID: 3971914458
Enrollment ID: I20240228002646
Provider NameSophia Angelica Gaoiran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245000504
PECOS PAC ID: 1759723992
Enrollment ID: I20240520003334
Provider NameWeston John Lagrandeur
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841781812
PECOS PAC ID: 4183976780
Enrollment ID: I20240702003696
Provider NameTorsten Jacob Rotto
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932787538
PECOS PAC ID: 0941745004
Enrollment ID: I20240712001818
Provider NameMarta Lucia Miguelena
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598344251
PECOS PAC ID: 8123564689
Enrollment ID: I20240722001158
Provider NameJanet Cheong
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1023271053
PECOS PAC ID: 5890228456
Enrollment ID: I20241104003608
Provider NameNancy Shashank Kapadia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366047292
PECOS PAC ID: 5698181592
Enrollment ID: I20250602002286

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.