BAY AREA COMMUNITY HEALTH (NPI# 1245719129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245719129 |
| Entity Type | Organization |
| Organization Name | BAY AREA COMMUNITY HEALTH |
| Other Organization Name | TRI-CITY HEALTH CENTER |
| Practice Address |
40924 Fremont Blvd Fremont CA 94538-4375 |
| Mailing Address |
40910 Fremont Blvd Fremont CA 94538-4375 |
| Practice Telephone | 5102526810 |
| Mailing Telephone | 5102526810 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | JAGAT SHETH (CFO) |
| Authorized Official Telephone | 5102526810 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | BAY AREA COMMUNITY HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1780054379 | 05 | |
| LICENSE # | 550003720 | 01 |
| Other Name | Type Code |
|---|---|
| Irvington Dave Clinic II | Doing Business As Name - Organization |
| Tri-City Health Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669094504 | Bay Area Community Health | Clinic/Center | 3434 Silver Creek Rd Rm M1, San Jose, CA 95121-1845 | 2020-05-14 |
| 1720600760 | Bay Area Community Health | Clinic/Center | 2880 Story Rd Ste 10, San Jose, CA 95127-3942 | 2020-05-13 |
| 1487276424 | Bay Area Community Health | Clinic/Center | 242 La Pala Dr Ste A&b, San Jose, CA 95127-2103 | 2020-05-13 |
| 1790307742 | Bay Area Community Health | Clinic/Center | 9460 N Name Uno Ste 215, Gilroy, CA 95020-3532 | 2020-05-13 |
| 1598387672 | Bay Area Community Health | Clinic/Center | 3200 Senter Rd Rm S104, San Jose, CA 95111-1332 | 2020-05-12 |
| 1962024059 | Bay Area Community Health | Clinic/Center | 1066 S White Rd Ste 170, San Jose, CA 95127-3812 | 2020-05-12 |
| 1407478597 | Bay Area Community Health | Clinic/Center | 1855 Lucretia Ave Bldg M, San Jose, CA 95122-3730 | 2020-05-12 |
| 1659993632 | Bay Area Community Health | Clinic/Center | 617 N Jackson Ave Bldg 1, San Jose, CA 95133-2345 | 2020-05-12 |
| 1497021109 | Bay Area Community Health | Clinic/Center | 3607 Main St Ste B, Fremont, CA 94538-4390 | 2012-03-27 |
| 1184791998 | Bay Area Community Health | Clinic/Center | 1999 Mowry Avenue, Fremont, CA 94538-1436 | 2006-11-29 |
| Street Address |
40924 FREMONT BLVD |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-4375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| 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 |
|---|---|---|---|---|
| 1497021109 | Bay Area Community Health | Clinic/Center | 3607 Main St Ste B, Fremont, CA 94538-4390 | 2012-03-27 |
| 1851515019 | Tri-city Health Center | Clinic/Center | 39184 State St, Fremont, CA 94538-1436 | 2007-04-12 |
| 1184791998 | Bay Area Community Health | Clinic/Center | 1999 Mowry Avenue, Fremont, CA 94538-1436 | 2006-11-29 |
| 1033296272 | Bay Area Community Health | Clinic/Center | 2299 Mowry Ave Ste 3b, Fremont, CA 94538-1621 | 2006-11-01 |
| 1780683573 | Community and Rural Health Services | Clinic/Center | 2221 Hayes Ave, Fremont, OH 43420-2632 | 2005-07-14 |
| 1457967267 | Bay Area Community Health | Clinic/Center | 1860 Mowry Ave Ste 400, Fremont, CA 94538-1730 | 2020-09-17 |
| 1780054379 | Bay Area Community Health | Clinic/Center | 40910 Fremont Blvd, Fremont, CA 94538-4375 | 2015-09-25 |
| 1902287261 | Good Neighbor Community Health Center | Clinic/Center | 2740 N Clarkson St, Fremont, NE 68025-7716 | 2015-06-12 |
| 1568840387 | Bay Area Community Health | Clinic/Center | 3607 Main St, Suite 3b, Fremont, CA 94538-4390 | 2015-05-13 |
| 1770710188 | The Center for Women's Health | Clinic/Center | 595 Bartson Rd, Fremont, OH 43420-8536 | 2009-06-12 |
| Find all providers in FREMONT | ||||
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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.