Healthcare Provider Details

I. General information

NPI: 1689620478
Provider Name (Legal Business Name): SCHOOL HEALTH CLINICS OF SANTA CLARA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 WREN AVE
GILROY CA
95020-7636
US

IV. Provider business mailing address

6840 VIA DEL ORO STE# 210
SAN JOSE CA
95119
US

V. Phone/Fax

Practice location:
  • Phone: 408-842-1017
  • Fax: 408-852-3346
Mailing address:
  • Phone: 408-284-2280
  • Fax: 408-754-0450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number070000696
License Number StateCA

VIII. Authorized Official

Name: STEPHANIE KLEINHEINZ
Title or Position: CEO
Credential: NP
Phone: 408-284-2288