BAY AREA COMMUNITY HEALTH (NPI# 1659993632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659993632 |
| Entity Type | Organization |
| Organization Name | BAY AREA COMMUNITY HEALTH |
| Other Organization Name | TRI-CITY HEALTH CENTER INDEPENDENCE HIGH SCHOOL CLINIC |
| Practice Address |
617 N Jackson Ave Bldg 1 San Jose CA 95133-2345 |
| Mailing Address |
40910 Fremont Blvd Fremont CA 94538-4375 |
| Practice Telephone | 4089289599 |
| Mailing Telephone | 5107708040 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | JAGAT SHETH (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5102526810 |
| 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 | 1063658029 | 05 |
| Other Name | Type Code |
|---|---|
| Tri-City Health Center Independence High School Clinic | Doing Business As 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 |
| 1245719129 | Bay Area Community Health | Clinic/Center | 40924 Fremont Blvd, Fremont, CA 94538-4375 | 2018-08-10 |
| 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 |
617 N JACKSON AVE BLDG 1 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95133-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939841 | Ngan Kim Vo | Registered Nurse | 858 Gateview Ct, San Jose, CA 95133 | 2020-07-19 |
| 1508336686 | Andrew Jang | Behavior Technician | 75 E. Santa Clara St, San Jose, CA 95133 | 2018-11-30 |
| 1699269811 | Livleen Moore | Behavioral Analyst | 2828 Rainview Dr, San Jose, CA 95133 | 2018-06-20 |
| 1023526134 | Suman Sra Dds Inc | Dentist | 750 N Capitol Ave, Suite C-1, San Jose, CA 95133 | 2018-01-11 |
| 1861919797 | Maseume Quartararo | Social Worker | 1650 Las Plumas Avenue Suite K, San Jose, CA 95133 | 2017-08-22 |
| 1447789623 | San Jose Eye Care Optometry Professional Corporation | Optometrist | 301 N. Jackson Ave #1, San Jose, CA 95133 | 2017-06-09 |
| 1518336452 | Hung Tran | Pharmacist | 650 N Jackson Ave Apt 12, San Jose, CA 95133 | 2015-09-22 |
| 1487993507 | Taoyuan Chen | Acupuncturist | 866 Cape Verde Place, Sanjose, CA 95133 | 2013-02-08 |
| 1598021099 | Caminar | Community/Behavioral Health | 591 North King Rd, Suite 1, San Jose, CA 95133 | 2012-04-09 |
| 1922375070 | Hao Rong | Dentist | 1722 Commodore Dr., San Jose, CA 95133 | 2011-11-17 |
| Find all providers in zip 95133 | ||||
| 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 |
| 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 |
| 1629462312 | Indian Health Center of Santa Clara Valley | Clinic/Center | 2039 Forest Ave Ste 105, San Jose, CA 95128-4815 | 2015-03-20 |
| 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.