ROOTS COMMUNITY HEALTH CENTER (NPI# 1083145122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083145122 |
| Entity Type | Organization |
| Organization Name | ROOTS COMMUNITY HEALTH CENTER |
| Practice Address |
1898 The Alameda San Jose CA 95126-1733 |
| Mailing Address |
9925 International Blvd #5 Oakland CA 94603-2558 |
| Practice Telephone | 4084904710 |
| Practice Fax Number | 5105502644 |
| Mailing Telephone | 5107771177 |
| Mailing Fax Number | 5105502644 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |
| Authorized Official Name | MS. SHAWNA AMEASE NORMAN (COMMUNITY & PROVIDER RELATIONS) |
| Authorized Official Telephone | 5107771177 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROOTS COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1851785307 | Roots Community Health Center | Clinic/Center | 2700 International Blvd Ste 11, Oakland, CA 94601-1520 | 2015-03-23 |
| 1811530991 | Roots Community Health Center | Family Medicine | 200 Harrison St, Oakland, CA 94607 | 2019-10-22 |
| 1932663853 | Roots Community Health Center | Clinic/Center | 7272 Macarthur Blvd, Oakland, CA 94605 | 2019-01-24 |
| 1083858823 | Roots Community Health Center | Clinic/Center | 9925 International Blvd, #5, Oakland, CA 94603-2558 | 2009-04-23 |
| Street Address |
1898 THE ALAMEDA |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194887950 | Ujima Adult and Family Services | Community/Behavioral Health | 1898 The Alameda, San Jose, CA 95126-1733 | 2006-12-15 |
| 1689288557 | Amina Hersi Aden | Counselor | 1898 The Alameda, San Jose, CA 95126 | 2020-09-08 |
| 1356806947 | Dajanee Dawson | Counselor | 1898 The Alameda, San Jose, CA 95126-1733 | 2019-02-07 |
| 1861961187 | Nuredin Indris | Counselor | 1898 The Alameda, San Jose, CA 95126-1733 | 2018-11-15 |
| 1447732409 | Mary Alvarez-nutting | Nurse Practitioner | 1898 The Alameda, San Jose, CA 95126-1733 | 2018-09-05 |
| 1265958011 | Ross Pusey | Counselor | 1898 The Alameda, San Jose, CA 95126-1733 | 2017-08-14 |
| 1659744472 | Jerrell Walker | Student in an Organized Health Care Education/Training Program | 1898 The Alameda, San Jose, CA 95126-1733 | 2015-11-02 |
| 1851762710 | Kamilah Davis | Case Manager/Care Coordinator | 1898 The Alameda, San Jose, CA 95126-1733 | 2015-10-16 |
| 1831569698 | Ariam Frezghi | Counselor | 1898 The Alameda, San Jose, CA 95126-1733 | 2015-10-05 |
| 1699102905 | Sharon Yvonne Crawford | Counselor | 1898 The Alameda, San Jose, CA 95126-1733 | 2013-10-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
| Find all providers in zip 95126 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336647114 | Stanford Employer Health Clinics | Clinic/Center | 1650 Technology Dr, San Jose, CA 95110-3809 | 2018-01-26 |
| 1740793090 | Juan C Carrillo Md A Professional Corporation | Clinic/Center | 2880 Story Rd Fl 2, San Jose, CA 95127-3942 | 2017-11-08 |
| 1740670090 | Nayyara Dawood M.d. Pediatrics Corp. | Clinic/Center | 275, O'connor Drive, Suite C, San Jose, CA 95128-1657 | 2015-01-26 |
| 1871998245 | Fardis Shahrivar, M.d. Inc. | Clinic/Center | 200 Jose Figueres Ave Ste 295, San Jose, CA 95116-1590 | 2014-10-28 |
| 1316358260 | El Dorado Community Service Ecnter | Clinic/Center | 804-808 Julian St, San Jose, CA 95113 | 2014-05-14 |
| 1235575333 | Thang Duc Tran, Md | Clinic/Center | 1569 Lexann Ave Ste 114, San Jose, CA 95121-1794 | 2013-05-15 |
| 1154588515 | Abellera Medical Group, Inc. | Clinic/Center | 2350 Mckee Rd Ste 1, San Jose, CA 95116-1617 | 2008-05-21 |
| 1346427986 | County of Santa Clara | Clinic/Center | 750 S. Bascom Ave, San Jose, CA 95128-2603 | 2008-01-25 |
| 1295858579 | Jorge V. Contreras, M.d., Apc | Clinic/Center | 841 Blossom Hill Rd Ste 215, San Jose, CA 95123-2704 | 2007-04-09 |
| 1497855696 | County of Santa Clara | Clinic/Center | 2100 Little Orchard, Vhc At Emergency Housing Consortium, San Jose, CA 95125-2604 | 2006-09-25 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.