GARDNER FAMILY HEALTH NETWORK INC (NPI# 1558491043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558491043 |
| Entity Type | Organization |
| Organization Name | GARDNER FAMILY HEALTH NETWORK INC |
| Other Organization Name | COMPRECARE HEALTH CENTER |
| Practice Address |
3030 Alum Rock Ave San Jose CA 95127-2807 |
| Mailing Address |
1621 Gold St. Po Box 1240 Alviso CA 92002-1240 |
| Practice Telephone | 4089353933 |
| Practice Fax Number | 4089353988 |
| Mailing Telephone | 4089353933 |
| Mailing Fax Number | 4089353988 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2013-07-05 |
| Authorized Official Name | OFELIA RUIZ (DIRECTOR) |
| Authorized Official Telephone | 4089353971 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
FHC70262F | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SOFPCCARE | HAP70262F | 01 |
| CA | FHC70262F | 05 | |
| CA | BCEDPCCARE | BCP70262F | 01 |
| CA | EAPCCCARE | EAP70262F | 01 |
| Other Name | Type Code |
|---|---|
| COMPRECARE HEALTH CENTER | 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 |
| 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 |
3030 ALUM ROCK AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95127-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679509954 | Ranjani Chandramouli | Pediatrics | 3030 Alum Rock Ave, San Jose, CA 95127-2807 | 2006-06-25 |
| 1942692868 | Anna Silini Naufahu | Registered Nurse | 3030 Alum Rock Ave, San Jose, CA 95127-2807 | 2015-03-02 |
| 1609285691 | Amir Dadgar-yeganeh | Dentist | 3030 Alum Rock Ave, San Jose, CA 95127-2807 | 2014-08-05 |
| 1942632203 | Maria Ajlouny | Dentist | 3030 Alum Rock Ave, San Jose, CA 95127-2807 | 2013-08-08 |
| 1073898144 | Nimisha Nidgundi | Dentist | 3030 Alum Rock Ave, San Jose, CA 95127-2807 | 2011-10-20 |
| 1194016683 | Starlene Soto | Counselor | 3030 Alum Rock Ave, San Jose, CA 95127-2807 | 2011-05-02 |
| 1245533637 | Angela Elaine Tarricone | Counselor | 3030 Alum Rock Ave, San Jose, CA 95127-2807 | 2010-12-07 |
| 1578706503 | Robert C. Lum | Dentist | 3030 Alum Rock Ave, San Jose, CA 95127-2807 | 2009-04-06 |
| 1356519458 | Raquel Esqueda | Case Manager/Care Coordinator | 3030 Alum Rock Ave, San Jose, CA 95127-2807 | 2008-02-12 |
| 1215105309 | Josefina Cerda | Case Manager/Care Coordinator | 3030 Alum Rock Ave, San Jose, CA 95127-2807 | 2008-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635162 | Veronica Isabel Foggie | Massage Therapist | 3570 Ct, San Jose, CA 95127 | 2020-10-05 |
| 1235605528 | Melissa Ann Morgan | Case Manager/Care Coordinator | 428 N. White Rd., San Jose, CA 95127 | 2018-10-15 |
| 1386126621 | Alum Rock Counseling Center | Community/Behavioral Health | 14281 Story Road, San Jose, CA 95127 | 2018-09-04 |
| 1407359383 | Erin Rodriguez | Behavior Technician | 1593 Amesbury Way, San Jose, CA 95127 | 2018-03-16 |
| 1407209919 | Binita Dorce | Counselor | 14820 Mcvay Avenue, San Jose, CA 95127 | 2016-07-20 |
| 1851766448 | Lynn H Trieu | Pharmacist | 3200 Kawalker Ln, San Jose, CA 95127 | 2015-12-08 |
| 1184099723 | Royal Plus Home Care, Inc | In Home Supportive Care | 302-f Toyon Ave. #182, San Jose, CA 95127 | 2015-12-08 |
| 1710363916 | Chan Pham | Acupuncturist | 10048 Bethel Ave, San Jose, CA 95127 | 2015-08-11 |
| 1639574320 | Jesus I Yanez | Dentist | 100 South White Road Suite 210, San Jose, CA 95127 | 2014-10-24 |
| 1285051110 | Vinh Quang Tran | Pharmacist | 3478 Neves Way, San Jose, CA 95127 | 2014-03-28 |
| Find all providers in zip 95127 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1821564485 | Indian Health Center of Santa Clara Valley | Clinic/Center | 9501 Malech Rd, San Jose, CA 95138 | 2018-10-22 |
| 1770027047 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 3434 Silver Creek Rd, Room M1, San Jose, CA 95121-1845 | 2016-12-06 |
| 1437607355 | Indian Health Center of Santa Clara Valley | Clinic/Center | 2039 Forest Ave Ste 204b, San Jose, CA 95128-4815 | 2016-09-20 |
| Find all providers in SAN JOSE | ||||
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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.