TIBURCIO VASQUEZ HEALTH CENTER, INC. (NPI# 1679979553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679979553 |
| Entity Type | Organization |
| Organization Name | TIBURCIO VASQUEZ HEALTH CENTER, INC. |
| Practice Address |
22331 Mission Blvd Hayward CA 94541 |
| Practice Telephone | 5104715907 |
| Practice Fax Number | 5106900703 |
| Mailing Telephone | (510) 471-5907 |
| Mailing Fax Number | 5106900703 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2017-08-25 |
| Authorized Official Name | MR. DAVID B VLIET (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5106906052 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| 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 |
| 1861860306 | Tiburcio Vasquez Health Center, Inc. | Clinic/Center | 28300 Huntwood Ave, Hayward, CA 94544-5425 | 2015-09-14 |
| 1720405491 | Tiburcio Vasquez Health Center, Inc. | Clinic/Center | 16110 E 14th St, San Leandro, CA 94578-3002 | 2014-03-19 |
| 1144597477 | Tiburcio Vasquez Health Center, Inc. | Clinic/Center | 680 W Tennyson Rd Rm 12, Hayward, CA 94544-5236 | 2011-12-01 |
| 1881983393 | Tiburcio Vasquez Health Center, Inc. | Case Management | 495 Wyeth Rd, Hayward, CA 94544-2951 | 2011-04-05 |
| 1144519703 | Tiburcio Vasquez Health Center, Inc. | Case Management | 27035 Whitman St Rm A-1, Hayward, CA 94544-4027 | 2011-04-05 |
| 1225327737 | Tiburcio Vasquez Health Center, Inc. | Case Management | 680 W Tennyson Rd, Hayward, CA 94544-5236 | 2011-04-05 |
| 1407145915 | Tiburcio Vasquez Health Center, Inc. | Case Management | 27845 Whitman St, Hayward, CA 94544-4752 | 2011-04-05 |
| 1033408687 | Tiburcio Vasquez Health Center, Inc. | Case Management | 541 Blanche St, Hayward, CA 94544-7700 | 2011-04-05 |
| 1417246927 | Tiburcio Vasquez Health Center, Inc. | Case Management | 119 W Winton Ave, Hayward, CA 94544-1210 | 2011-04-05 |
| Street Address |
22331 MISSION BLVD |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538259395 | Chiaven Phen | Dentist | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2006-10-13 |
| 1770197360 | Ana Salazar Martinez | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2020-09-01 |
| 1184236861 | Lauren Winokur Plate | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2020-08-23 |
| 1952942955 | Lauren L Anderson | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2019-10-01 |
| 1629639984 | Tamana Mehdavi | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2019-06-26 |
| 1417515412 | Nathan Ashley Wilkinson | Registered Nurse | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2019-06-04 |
| 1235697558 | Charlene Lumanlan | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2019-03-05 |
| 1205303260 | Jennifer Houser | Dietitian, Registered | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2018-10-29 |
| 1093296840 | Gabriela Maria Chica | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2018-08-28 |
| 1578042701 | Kallyn Rogers | Nurse Practitioner | 22331 Mission Blvd, Hayward, CA 94541 | 2018-08-08 |
| Find all providers in the same location | ||||
| 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 |
| 1407373921 | Tibucio Vasquez Health Center, Inc. | Clinic/Center | 1633 East Ave, Hayward, CA 94541-5314 | 2017-08-25 |
| 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 |
| 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.