GARDNER FAMILY HEALTH NETWORK (NPI# 1730412461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730412461 |
| Entity Type | Organization |
| Organization Name | GARDNER FAMILY HEALTH NETWORK |
| Practice Address |
55 E Julian St San Jose CA 95112-4007 |
| Mailing Address |
7526 Monterey St Gilroy CA 95020-5826 |
| Practice Telephone | 4089182626 |
| Practice Fax Number | 4082800672 |
| Mailing Telephone | 4088489436 |
| Mailing Fax Number | 4088489468 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |
| Authorized Official Name | DR. GEORGE BARGHOUTH (DENTAL DIRECTOR) |
| Authorized Official Telephone | 4089182667 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
58660 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625847 | Gardner Family Health Network | Clinic/Center | 1621 Gold St, Alviso, CA 95002-3530 | 2020-06-26 |
| 1689239014 | Gardner Family Health Network | Clinic/Center | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2019-05-01 |
| 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 |
| 1235274044 | Gardner Family Health Network | Point of Service | 3030 Alum Rock Ave, San Jose, CA 95127-2807 | 2007-02-20 |
| Street Address |
55 E JULIAN ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718678 | Hsin-pei Liu | Obstetrics & Gynecology | 55 E Julian St, San Jose, CA 95112-4007 | 2005-05-27 |
| 1194344325 | Esteban Gallegos | Student in an Organized Health Care Education/Training Program | 55 E Julian St, San Jose, CA 95112-4007 | 2020-04-08 |
| 1174157028 | Ashley Ortiz | Student in an Organized Health Care Education/Training Program | 55 E Julian St, San Jose, CA 95112-4007 | 2020-03-01 |
| 1083116214 | Victoria Lai | Dentist | 55 E Julian St, San Jose, CA 95112-4007 | 2018-03-04 |
| 1720527393 | Thu Le | Student in an Organized Health Care Education/Training Program | 55 E Julian St, San Jose, CA 95112-4007 | 2017-02-15 |
| 1245779883 | Kamille Serranzana Mercado | Student in an Organized Health Care Education/Training Program | 55 E Julian St, San Jose, CA 95112-4007 | 2017-02-15 |
| 1164880662 | Janice Lee | Student in an Organized Health Care Education/Training Program | 55 E Julian St, San Jose, CA 95112-4007 | 2016-01-29 |
| 1063830958 | Shuzing Tsung | Nurse Practitioner | 55 E Julian St, San Jose, CA 95112-4007 | 2014-03-28 |
| 1164701298 | Monika Dahiya | Dentist | 55 E Julian St, St. James Clinic, San Jose, CA 95112-4007 | 2011-08-07 |
| 1467753855 | Lily Feng | Optometrist | 55 E Julian St, San Jose, CA 95112-4007 | 2010-11-16 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033750195 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 5253 Prospect Rd Ste D-2, San Jose, CA 95129-5025 | 2019-09-30 |
| 1295203941 | Dr. Jacqueline B. Nguyen, Dds, Apc | Clinic/Center | 2847 S White Rd Ste 204, San Jose, CA 95148-2942 | 2018-11-09 |
| 1326521055 | Rachana Vyas Dds Inc | Clinic/Center | 5150 Graves Ave Ste 5c, San Jose, CA 95129-5005 | 2018-09-10 |
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1750860912 | Cory A. Timbers, Dds, Inc. | Clinic/Center | 155 N Jackson Ave Ste 202, San Jose, CA 95116-1925 | 2018-08-08 |
| 1730675109 | Healing Property LLC | Clinic/Center | 2211 Moorpark Ave Ste 100, San Jose, CA 95128-2655 | 2018-07-09 |
| 1225524226 | Young Dental Corporation | Clinic/Center | 1705 Branham Ln Ste B4, San Jose, CA 95118-5222 | 2018-07-03 |
| 1902399637 | Changndds, Inc | Clinic/Center | 3161 Senter Rd Ste F&g, San Jose, CA 95111-1300 | 2018-06-07 |
| 1861981813 | Rachna Pall D.d.s Inc. | Clinic/Center | 2323 Montpelier Dr Ste B, San Jose, CA 95116-1611 | 2018-05-05 |
| 1194212464 | Thao Minh Nguyen, Dds, Inc | Clinic/Center | 2811 Story Rd Ste 50, San Jose, CA 95127-3924 | 2018-04-22 |
| 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.