GARDNER FAMILY HEALTH NETWORK INC (NPI# 1306309885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306309885 |
Entity Type | Organization |
Organization Name | GARDNER FAMILY HEALTH NETWORK INC |
Practice Address |
195 E San Fernando St San Jose CA 95112-3503 |
Mailing Address |
1621 Gold St Alviso CA 95002-3530 |
Practice Telephone | 4089353918 |
Mailing Telephone | 4089353971 |
Enumeration Date | 2019-04-10 |
Last Update Date | 2019-04-10 |
Authorized Official Name | REYMUNDO C ESPINOZA (CEO) |
Authorized Official Telephone | 4082002291 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1699041566 | 05 |
Other Name | Type Code |
---|---|
John XXIII Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699041566 | Gardner Family Health Network Inc | Clinic/Center | 725 E. Santa Clara Street, San Jose, CA 95112-1900 | 2012-03-26 |
1164552931 | Gardner Family Health Network Inc | Clinic/Center | 1621 Gold St., Alviso, CA 95002-1240 | 2007-03-07 |
1083654545 | Gardner Family Health Network Inc | Clinic/Center | 1621 Gold Street, Alviso, CA 95002-1240 | 2006-06-06 |
1376109629 | Gardner Family Health Network Inc | Community/Behavioral Health | 614 Tully Rd, San Jose, CA 95111-1048 | 2019-05-13 |
1922366186 | Gardner Family Health Network Inc | Clinic/Center | 3351 El Camino Real, Suite 100, Atherton, CA 94027-3811 | 2012-04-25 |
1821239112 | Gardner Family Health Network Inc | Pharmacy | 7526 Monterey St, Gilroy, CA 95020-5826 | 2009-03-16 |
1558491043 | Gardner Family Health Network Inc | Clinic/Center | 3030 Alum Rock Ave, San Jose, CA 95127-2807 | 2007-03-06 |
1700915097 | Gardner Family Health Network Inc | Clinic/Center | 55 E Julian St, San Jose, CA 95112-4007 | 2007-03-05 |
1407985534 | Gardner Family Health Network Inc | Clinic/Center | 195 E Virginia St, San Jose, CA 95112-5844 | 2007-03-05 |
1144358748 | Gardner Family Health Network Inc | Clinic/Center | 7526 Monterey St, Gilroy, CA 95020-5826 | 2007-03-02 |
Street Address |
195 E SAN FERNANDO ST |
City | SAN JOSE |
State | CA |
Zip Code | 95112-3503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043235849 | Ali Alkoraishi | Psychiatry & Neurology | 195 E San Fernando St, Second Floor, San Jose, CA 95112-3503 | 2006-07-13 |
1871156703 | Alejandro Macias | Case Manager/Care Coordinator | 195 E San Fernando St, San Jose, CA 95112-3503 | 2019-04-16 |
1770047714 | Kamane Malvo Marshall | Counselor | 195 E San Fernando St, San Jose, CA 95112-3503 | 2019-01-23 |
1932675634 | Yaling Hsu | Counselor | 195 E San Fernando St, San Jose, CA 95112-3503 | 2018-10-19 |
1457878878 | Nancy Jillian Mcclymont | Case Manager/Care Coordinator | 195 E San Fernando St, San Jose, CA 95112-3503 | 2017-08-25 |
1477074193 | Tammy Xia | Counselor | 195 E San Fernando St, San Jose, CA 95112 | 2017-07-03 |
1033644976 | Catherine Sanae Sheehan | Counselor | 195 E San Fernando St, San Jose, CA 95112-3503 | 2017-04-28 |
1841629631 | Phuong M Yang | Social Worker | 195 E San Fernando St, San Jose, CA 95112-3503 | 2013-11-02 |
1538509203 | Mackenzie Lorenzato | Counselor | 195 E San Fernando St, San Jose, CA 95112-3503 | 2013-06-26 |
1295178317 | Elizabeth Gonzalez Larios | Counselor | 195 E San Fernando St, San Jose, CA 95112-3503 | 2013-04-08 |
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 | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518105626 | Kara M Potter | Clinic/Center | 5671 Santa Teresa Boulevard, Suite 15, San Jose, CA 95123 | 2009-01-27 |
1700830296 | East Valley Community Clinic, Inc. | Clinic/Center | 2470 Alvin Ave, Suite 60, San Jose, CA 95121-1664 | 2006-05-20 |
1558314609 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 5440 Thornwood Dr, Suite G, San Jose, CA 95123-1217 | 2006-05-18 |
1508299967 | Health Mobile | Clinic/Center | 2324 Montpelier Dr Ste 3, San Jose, CA 95116-1612 | 2013-08-20 |
1871848523 | Dr. Rosalinda A. Mandreza, Inc | Clinic/Center | 2593 S King Rd, Ste 11, San Jose, CA 95122-1880 | 2012-07-18 |
1841552171 | Catholic Charities of Santa Clara County | Clinic/Center | 195 E San Fernando St, San Jose, CA 95112-3503 | 2012-06-12 |
1871868562 | O' Connor Family Medicine Residency Program | Clinic/Center | 455 Oconnor Dr, San Jose, CA 95128-1633 | 2012-03-14 |
1972823417 | Jennifer Stevenson | Clinic/Center | 645 Wool Creek Dr, San Jose, CA 95112-2617 | 2010-06-07 |
1184953127 | Ruth Holguin | Clinic/Center | 1149 E Julian St, Bldg. H, San Jose, CA 95116-1005 | 2009-12-22 |
1578794699 | Crisis Pregnancy Centers of Santa Clara County | Clinic/Center | 3315 Almaden Expy, Ste 25, San Jose, CA 95118-1557 | 2009-08-06 |
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.