TIBUCIO VASQUEZ HEALTH CENTER, INC. (NPI# 1407373921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407373921 |
| Entity Type | Organization |
| Organization Name | TIBUCIO VASQUEZ HEALTH CENTER, INC. |
| Other Organization Name | HAYWARD HIGH SCHOOL |
| Practice Address |
1633 East Ave Hayward CA 94541-5314 |
| Mailing Address |
22331 Mission Blvd Hayward CA 94541-3911 |
| Practice Telephone | 5104715907 |
| Mailing Telephone | 5106906052 |
| Mailing Fax Number | 5106900703 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |
| Authorized Official Name | DAVID B. VLIET (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5106906052 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
14000706 | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hayward High School | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083174684 | Tibucio Vasquez Health Center, Inc. | Clinic/Center | 23640 Reed Way, Hayward, CA 94541-7326 | 2019-03-21 |
| 1730455049 | Tibucio Vasquez Health Center, Inc. | Community/Behavioral Health | 22211 Foothill Blvd, Hayward, CA 94541-2712 | 2012-03-30 |
| Street Address |
1633 EAST AVE |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541-5314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336482033 | Seneca Family of Agencies | Community/Behavioral Health | 1633 East Ave, Hayward, CA 94541-5314 | 2013-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
| 1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
| 1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
| 1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1891235859 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 1105 Walpert Street, Hayward, CA 94541 | 2017-02-24 |
| 1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
| 1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
| Find all providers in zip 94541 | ||||
| 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 |
|---|---|---|---|---|
| 1790256808 | Tiburcio Vasquez Health Center, Inc. | Clinic/Center | 25555 Hesperian Blvd Rm 2315, Hayward, CA 94545-2447 | 2018-12-16 |
| 1659884716 | The Lakes Community Health Center, Inc | Clinic/Center | 15954 Rivers Edge Dr Ste 304, Hayward, WI 54843-7800 | 2017-11-13 |
| 1144597477 | Tiburcio Vasquez Health Center, Inc. | Clinic/Center | 680 W Tennyson Rd Rm 12, Hayward, CA 94544-5236 | 2011-12-01 |
| 1033241633 | Alameda Health System | Clinic/Center | 664 Southland Mall, Hayward, CA 94545-2150 | 2007-03-09 |
| 1679062087 | The Alliance for Community Wellness | Clinic/Center | 585 Willow Ave, Hayward, CA 94541-2424 | 2018-05-02 |
| 1124436159 | The Lakes Community Health Center, Inc | Clinic/Center | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2014-07-22 |
| 1306047196 | Alameda Health System | Clinic/Center | 664 Southland Mall, Hayward, CA 94545-2150 | 2007-05-30 |
| 1114128915 | Alameda Health System | Clinic/Center | 664 Southland Mall, Hayward, CA 94545-2150 | 2007-05-30 |
| 1023219821 | Alameda Health System | Clinic/Center | 664 Southland Mall, Hayward, CA 94545-2150 | 2007-05-30 |
| 1073676243 | Tiburcio Vasquez Health Center, Inc. | Clinic/Center | 22331 Mission Blvd, Hayward, CA 94541 | 2006-12-19 |
| Find all providers in HAYWARD | ||||
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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.