AXIS COMMUNITY HEALTH INC (NPI# 1306877121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306877121 |
| Entity Type | Organization |
| Organization Name | AXIS COMMUNITY HEALTH INC |
| Practice Address |
3311 Pacific Ave Livermore CA 94551 |
| Mailing Address |
4361 Railroad Ave Pleasanton CA 94566-6611 |
| Practice Telephone | 9254621755 |
| Practice Fax Number | 9254171503 |
| Mailing Telephone | 9254621755 |
| Mailing Fax Number | 9254171503 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | SUE COMPTON (CEO) |
| Authorized Official Telephone | 9254621755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
A0610721 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70205F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669403390 | Axis Community Health Inc | Clinic/Center | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2006-07-05 |
| 1780140707 | Axis Community Health Inc | Community/Behavioral Health | 7212 Regional St, Dublin, CA 94568-2326 | 2019-02-14 |
| 1609249994 | Axis Community Health Inc | Clinic/Center | 5925 W Las Positas Blvd, Suite 100, Pleasanton, CA 94588-8537 | 2015-11-09 |
| 1124461397 | Axis Community Health Inc | Clinic/Center | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2013-04-08 |
| 1710105408 | Axis Community Health Inc | Clinic/Center | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2007-04-20 |
| 1114144359 | Axis Community Health Inc | Clinic/Center | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2007-04-19 |
| 1336366509 | Axis Community Health Inc | Clinic/Center | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2007-04-19 |
| 1376760546 | Axis Community Health Inc | Clinic/Center | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2007-04-19 |
| Street Address |
3311 PACIFIC AVE |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306354428 | Lauren Elizabeth Ham | Counselor | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2018-01-11 |
| 1760999270 | Amelia Patimasang Harmon | Peer Specialist | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2018-01-05 |
| 1699211482 | Kinalani Hoe | Social Worker | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2017-01-17 |
| 1578962064 | Guadalupe Guillermina Barattino | Community Health Worker | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2014-08-20 |
| 1114253457 | Edward Liu | Registered Nurse | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2009-10-21 |
| 1225219942 | Nelida I Villanueva | Case Manager/Care Coordinator | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2007-11-21 |
| 1710105408 | Axis Community Health Inc | Clinic/Center | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2007-04-20 |
| 1093893679 | Sreedevi Jadcherla Ayyala | Internal Medicine | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2006-11-01 |
| 1891898102 | Suzanne Silva | Nurse Practitioner | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700370897 | Mauricio Perez De La Vega Sr. | Behavioral Analyst | 564 Heligan Ln Unit 3, Livermore, CA 94551 | 2018-06-21 |
| 1528592003 | Angel Qin | Pharmacist | 7 Meritage Common, Unit 203, Livermore, CA 94551 | 2017-04-12 |
| 1538690169 | Pradeepkumar R Patel | Pharmacist | 300-g Pullman Street, Livermore, CA 94551 | 2017-03-24 |
| 1306398987 | Janella Rae Palao Bautista | Counselor | Sierra School At Livermore (lawerence Elementary), 2451 Portola Ave, Livermore, CA 94551 | 2016-10-28 |
| 1255887006 | Eye Candy, L.L.C. | Optometrist | 4423 First Street, Livermore, CA 94551 | 2016-08-31 |
| 1144675869 | Aic Health Care Inc. | Home Health | 4049 First St Ste 229, Livermore, CA 94551 | 2016-05-02 |
| 1376943704 | Danielle Leduc | Social Worker | 6112 Water Lily Cmns Apt 107, Livermore, CA 94551 | 2014-09-04 |
| 1326463597 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2177 Las Positas Ct Ste Bc, Livermore, CA 94551 | 2014-02-25 |
| 1285055939 | Tram Hoa Huynh | Pharmacist | 300 Pullman St., Livermore, CA 94551 | 2013-12-26 |
| 1902146806 | Amy Suezaki | Pharmacist | 300a Pullman St, Livermore, CA 94551 | 2013-03-01 |
| Find all providers in zip 94551 | ||||
| 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 |
|---|---|---|---|---|
| 1710105408 | Axis Community Health Inc | Clinic/Center | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2007-04-20 |
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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.