GARDNER FAMILY HEALTH NETWORK INC (NPI# 1083654545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083654545 |
| Entity Type | Organization |
| Organization Name | GARDNER FAMILY HEALTH NETWORK INC |
| Other Organization Name | GARDNER FAMILY HEALTH NETWORK INC |
| Practice Address |
1621 Gold Street Alviso CA 95002-1240 |
| Mailing Address |
Po Box 1240 1621 Gold Street Alviso CA 95002-1240 |
| Practice Telephone | 4089353933 |
| Practice Fax Number | 4089353988 |
| Mailing Telephone | 4089353933 |
| Mailing Fax Number | 4089353988 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-09-24 |
| Authorized Official Name | OFELIA RUIZ (DIRECTOR) |
| Authorized Official Telephone | 4089353971 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
070000152 | CA | Ambulatory Health Care Facilities |
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
070000045 | CA | Ambulatory Health Care Facilities |
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
070000179 | CA | Ambulatory Health Care Facilities |
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
070000007 | CA | Ambulatory Health Care Facilities |
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
070000481 | CA | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
FHC70262F | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 751005 | 05 | |
| CA | 051150 | 05 | |
| CA | FHC11001F | 05 | |
| CA | FHC70262F | 05 | |
| CA | FHC11531F | 05 | |
| CA | FHC70014F | 05 | |
| CA | FHC70872F | 05 |
| Other Name | Type Code |
|---|---|
| GARDNER FAMILY HEALTH NETWORK INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699041566 | Gardner Family Health Network Inc | Clinic/Center | 725 E. Santa Clara Street, San Jose, CA 95112-1900 | 2012-03-26 |
| 1164552931 | Gardner Family Health Network Inc | Clinic/Center | 1621 Gold St., Alviso, CA 95002-1240 | 2007-03-07 |
| 1376109629 | Gardner Family Health Network Inc | Community/Behavioral Health | 614 Tully Rd, San Jose, CA 95111-1048 | 2019-05-13 |
| 1306309885 | Gardner Family Health Network Inc | Clinic/Center | 195 E San Fernando St, San Jose, CA 95112-3503 | 2019-04-10 |
| 1922366186 | Gardner Family Health Network Inc | Clinic/Center | 3351 El Camino Real, Suite 100, Atherton, CA 94027-3811 | 2012-04-25 |
| 1821239112 | Gardner Family Health Network Inc | Pharmacy | 7526 Monterey St, Gilroy, CA 95020-5826 | 2009-03-16 |
| 1558491043 | Gardner Family Health Network Inc | Clinic/Center | 3030 Alum Rock Ave, San Jose, CA 95127-2807 | 2007-03-06 |
| 1700915097 | Gardner Family Health Network Inc | Clinic/Center | 55 E Julian St, San Jose, CA 95112-4007 | 2007-03-05 |
| 1407985534 | Gardner Family Health Network Inc | Clinic/Center | 195 E Virginia St, San Jose, CA 95112-5844 | 2007-03-05 |
| 1144358748 | Gardner Family Health Network Inc | Clinic/Center | 7526 Monterey St, Gilroy, CA 95020-5826 | 2007-03-02 |
| Street Address |
1621 GOLD STREET |
| City | ALVISO |
| State | CA |
| Zip Code | 95002-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164552931 | Gardner Family Health Network Inc | Clinic/Center | 1621 Gold St., Alviso, CA 95002-1240 | 2007-03-07 |
| 1922625847 | Gardner Family Health Network | Clinic/Center | 1621 Gold St, Alviso, CA 95002-3530 | 2020-06-26 |
| 1881197937 | Samuel Martinez | Massage Therapist | 1554 Wabash Rd, Alviso, CA 95002-9500 | 2018-03-15 |
| 1639362221 | Robin Lee Contino | Respiratory Therapist, Certified | 5134 Archangel Dr, Alviso, CA 95002-9800 | 2007-08-27 |
| 1144498700 | American Respiratory Laboratories | Physiological Laboratory | 5134 Archangel Dr, Alviso, CA 95002-9800 | 2008-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625847 | Gardner Family Health Network | Clinic/Center | 1621 Gold St, Alviso, CA 95002-3530 | 2020-06-26 |
| 1881197937 | Samuel Martinez | Massage Therapist | 1554 Wabash Rd, Alviso, CA 95002-9500 | 2018-03-15 |
| 1639362221 | Robin Lee Contino | Respiratory Therapist, Certified | 5134 Archangel Dr, Alviso, CA 95002-9800 | 2007-08-27 |
| 1144498700 | American Respiratory Laboratories | Physiological Laboratory | 5134 Archangel Dr, Alviso, CA 95002-9800 | 2008-02-18 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164552931 | Gardner Family Health Network Inc | Clinic/Center | 1621 Gold St., Alviso, CA 95002-1240 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
| 1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GARDNER FAMILY HEALTH NETWORK INC.
| 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.