GARDNER FAMILY HEALTH NETWORK (NPI# 1689239014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689239014 |
| Entity Type | Organization |
| Organization Name | GARDNER FAMILY HEALTH NETWORK |
| Practice Address |
160 E Virginia St Ste 100 San Jose CA 95112-5865 |
| Practice Telephone | 4085796178 |
| Practice Fax Number | 4085796143 |
| Mailing Telephone | 4085796178 |
| Mailing Fax Number | 4085796143 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | CHRISTINA CORNELL (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 4085796178 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gardner Specialty Mental Health Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625847 | Gardner Family Health Network | Clinic/Center | 1621 Gold St, Alviso, CA 95002-3530 | 2020-06-26 |
| 1265898357 | Gardner Family Health Network | Clinic/Center | 7526 Monterey St, Gilroy, CA 95020-5826 | 2016-01-06 |
| 1669853693 | Gardner Family Health Network | Physician Assistant | 195 E Virginia St, San Jose, CA 95112-5844 | 2015-06-16 |
| 1730412461 | Gardner Family Health Network | Clinic/Center | 55 E Julian St, San Jose, CA 95112-4007 | 2009-09-14 |
| 1235274044 | Gardner Family Health Network | Point of Service | 3030 Alum Rock Ave, San Jose, CA 95127-2807 | 2007-02-20 |
| Street Address |
160 E VIRGINIA ST STE 100 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-5865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407924863 | Jasmin Angelica Estrada | Counselor | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2006-12-01 |
| 1588264352 | Olena Shevchenko | Case Manager/Care Coordinator | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-10-29 |
| 1497354716 | April Rose Wentworth | Counselor | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-10-19 |
| 1881292605 | Hugo Badillo Sanchez | Counselor | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-10-14 |
| 1831796473 | Annie Nguyen | Counselor | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-10-07 |
| 1265049027 | Javier Garibay | Counselor | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-09-25 |
| 1508479767 | Hope Nguyen | Counselor | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-08-27 |
| 1649883224 | Mimi Nguyen | Social Worker | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-08-25 |
| 1457964074 | Precilla Cabugao | Counselor | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-08-24 |
| 1881207405 | Alec Jonathan Burckle | Student in an Organized Health Care Education/Training Program | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2020-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235593237 | Cielo House Inc | Clinic/Center | 334 N. Second St., San Jose, CA 95112 | 2016-04-06 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1275964488 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1685 Westwood Dr Ste 1, San Jose, CA 95125 | 2013-12-13 |
| 1760584783 | County of Santa Clara | Clinic/Center | 650 South Bascom Avenue, San Jose, CA 95128 | 2006-09-01 |
| 1962512442 | County of Santa Clara | Clinic/Center | 2221 Enborg Lane, San Jose, CA 95128 | 2006-08-30 |
| 1497865976 | County of Santa Clara | Clinic/Center | 840 Guadalupe Pkwy, Suite 238, San Jose, CA 95110-1714 | 2006-08-30 |
| 1922118405 | County of Santa Clara | Clinic/Center | 828 S Bascom Ave Ste 180, San Jose, CA 95128-2600 | 2006-08-30 |
| 1437269917 | County of Santa Clara | Clinic/Center | 1650 Las Plumas Ave Ste K, San Jose, CA 95133-1657 | 2006-08-30 |
| 1699885079 | County of Santa Clara | Clinic/Center | 1887 Monterey Road Ste 205, San Jose, CA 95112-6192 | 2006-08-30 |
| 1679683064 | County of Santa Clara | Clinic/Center | 1075 East Santa Clara Street, San Jose, CA 95116 | 2006-08-30 |
| 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.