GARDNER FAMILY HEALTH NETWORK INC (NPI# 1144358748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144358748 |
| Entity Type | Organization |
| Organization Name | GARDNER FAMILY HEALTH NETWORK INC |
| Other Organization Name | GARDNER SOUTH COUNTY |
| Practice Address |
7526 Monterey St Gilroy CA 95020-5826 |
| Mailing Address |
Po Box 1240 Alviso CA 95002-1240 |
| Practice Telephone | 4089353933 |
| Practice Fax Number | 4089353988 |
| Mailing Telephone | 4089353933 |
| Mailing Fax Number | 4089353982 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2013-12-02 |
| Authorized Official Name | OFELIA RUIZ (DIRECTOR) |
| Authorized Official Telephone | 4089353971 |
| Is Organization Subpart | Y |
| Parent Organization Name | GARDNER FAMILY HEALTH NETWORK INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
FHC707872F | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | EAPCGIL | EAP707872F | 01 |
| CA | SOFPGIL | HAP70872F | 01 |
| CA | BCEDPGIL | BCP707872F | 01 |
| CA | FHC70872F | 05 |
| Other Name | Type Code |
|---|---|
| GARDNER SOUTH COUNTY | 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 |
| 1083654545 | Gardner Family Health Network Inc | Clinic/Center | 1621 Gold Street, Alviso, CA 95002-1240 | 2006-06-06 |
| 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 |
| Street Address |
7526 MONTEREY ST |
| City | GILROY |
| State | CA |
| Zip Code | 95020-5826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366464901 | Kyoko Chiemi Pena-robles | Family Medicine | 7526 Monterey St, Gardner Health Center-gilory, Gilroy, CA 95020-5826 | 2006-07-24 |
| 1265898357 | Gardner Family Health Network | Clinic/Center | 7526 Monterey St, Gilroy, CA 95020-5826 | 2016-01-06 |
| 1194139600 | Linda Zhao | Optometrist | 7526 Monterey St, Gilroy, CA 95020-5826 | 2014-06-12 |
| 1932549623 | Jonathan Sharp Grigsby | Family Medicine | 7526 Monterey St, Gilroy, CA 95020-5826 | 2013-06-27 |
| 1255565537 | Gardner Family Care Corporation | Community/Behavioral Health | 7526 Monterey St, Gilroy, CA 95020-5826 | 2009-05-14 |
| 1821239112 | Gardner Family Health Network Inc | Pharmacy | 7526 Monterey St, Gilroy, CA 95020-5826 | 2009-03-16 |
| 1992960868 | Regina Hungerford-soares | Chiropractor | 7526 Monterey St, Gilroy, CA 95020-5826 | 2008-07-21 |
| 1023147477 | Chi Dinh | Dentist | 7526 Monterey St, Gilroy, CA 95020-5826 | 2007-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158105 | Benjamin Liupaogo | Case Manager/Care Coordinator | Rebekah Children's Services, 290 Ioof Ave, Gilroy, CA 95020 | 2020-09-09 |
| 1205457330 | Ethel Rostran | Counselor | 290 I00f Ave., Gilroy, CA 95020 | 2020-04-29 |
| 1407498868 | Mehak Saini | Behavior Technician | 9360 Noname Uno, Gilroy, CA 95020 | 2019-10-16 |
| 1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
| 1932752490 | Eamon F. Burke | Counselor | Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 | 2019-07-23 |
| 1578116232 | Jose Enrique Cruz | Behavior Technician | 9360 Noname Uno #130, Gilroy, CA 95020 | 2019-07-22 |
| 1558925560 | Mauricio Hazael Procopio | Behavioral Analyst | 9360 Noname Uno Suite 130, Gilroy, CA 95020 | 2019-04-24 |
| 1689138893 | Gabriela Mendoza | Behavioral Analyst | 9395 Kern Ave, Gilroy, CA 95020 | 2019-01-22 |
| 1972082782 | Andrea Gloria Blanton | Social Worker | Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 | 2018-08-13 |
| 1407334626 | Katrina Davina Aguilera | Case Manager/Care Coordinator | 290 Loof Ave., Gilroy, CA 95020 | 2018-07-31 |
| Find all providers in zip 95020 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1316569361 | Bay Area Community Health | Clinic/Center | 480 W 8th St, Gilroy, CA 95020-6474 | 2020-05-13 |
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| 1316482896 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 9460 N Name Uno, Suite 215, Gilroy, CA 95020-3537 | 2016-12-20 |
| 1144626649 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 9460 No Name Uno, Suite 110, Gilroy, CA 95020-3536 | 2014-11-10 |
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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.