TIBURCIO VASQUEZ HEALTH CENTER, INC. (NPI# 1720405491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720405491 |
| Entity Type | Organization |
| Organization Name | TIBURCIO VASQUEZ HEALTH CENTER, INC. |
| Practice Address |
16110 E 14th St San Leandro CA 94578-3002 |
| Mailing Address |
33255 9th St Union City CA 94587-2137 |
| Practice Telephone | 5104715907 |
| Mailing Telephone | 5104715907 |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-09-05 |
| Authorized Official Name | DAVID B. VLIET (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5106906050 |
| 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 |
| 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 |
| 1679979553 | Tiburcio Vasquez Health Center, Inc. | Clinic/Center | 22331 Mission Blvd, Hayward, CA 94541 | 2014-11-05 |
| 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 |
16110 E 14TH ST |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588135321 | Alejandra Acosta | Case Manager/Care Coordinator | 16110 E 14th St, San Leandro, CA 94578-3002 | 2018-12-05 |
| 1427533454 | Sonia Lai | Nurse Practitioner | 16110 E 14th St, San Leandro, CA 94578-3002 | 2018-09-25 |
| 1619491115 | Brenda Maria Lopez | Nurse Practitioner | 16110 E 14th St, San Leandro, CA 94578-3002 | 2017-07-27 |
| 1073044582 | Norma Adriana Monroy | Physician Assistant | 16110 E 14th St, San Leandro, CA 94578-3002 | 2017-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1558749440 | Alameda Health System | Clinic/Center | 15400 Foothill Blvd, San Leandro, CA 94578-3746 | 2015-05-11 |
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| Find all providers with the same taxonomy | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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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.