AXIS COMMUNITY HEALTH INC (NPI# 1669403390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669403390 |
| Entity Type | Organization |
| Organization Name | AXIS COMMUNITY HEALTH INC |
| Practice Address |
4361 Railroad Ave Pleasanton CA 94566-6611 |
| Practice Telephone | 9254625544 |
| Practice Fax Number | 9252016016 |
| Mailing Telephone | 9254625544 |
| Mailing Fax Number | 9252016016 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | SUE COMPTON (CEO) |
| Authorized Official Telephone | 9254621755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
140000043 | CA | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
A0610721 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC11593F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306877121 | Axis Community Health Inc | Clinic/Center | 3311 Pacific Ave, Livermore, CA 94551 | 2006-07-06 |
| 1780140707 | Axis Community Health Inc | Community/Behavioral Health | 7212 Regional St, Dublin, CA 94568-2326 | 2019-02-14 |
| 1609249994 | Axis Community Health Inc | Clinic/Center | 5925 W Las Positas Blvd, Suite 100, Pleasanton, CA 94588-8537 | 2015-11-09 |
| 1124461397 | Axis Community Health Inc | Clinic/Center | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2013-04-08 |
| 1710105408 | Axis Community Health Inc | Clinic/Center | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2007-04-20 |
| 1114144359 | Axis Community Health Inc | Clinic/Center | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2007-04-19 |
| 1336366509 | Axis Community Health Inc | Clinic/Center | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2007-04-19 |
| 1376760546 | Axis Community Health Inc | Clinic/Center | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2007-04-19 |
| Street Address |
4361 RAILROAD AVE |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94566-6611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245610575 | Priscilla Mathews | Social Worker | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2015-06-02 |
| 1285046557 | Amennah S. Moghaddam | Nurse Practitioner | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2014-05-21 |
| 1881025971 | Zayda Yeoh | Nurse Practitioner | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2013-11-27 |
| 1124461397 | Axis Community Health Inc | Clinic/Center | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2013-04-08 |
| 1235428913 | Heather Lynne Floyd | Counselor | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2011-04-01 |
| 1376867341 | Kathy Armani | Dietitian, Registered | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2010-03-19 |
| 1891026571 | Jody Ann Allen | Counselor | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2010-01-20 |
| 1003140153 | Gunjan Munjal | Student in an Organized Health Care Education/Training Program | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2009-09-22 |
| 1760626626 | Denise Rae Woodfill | Counselor | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2009-04-22 |
| 1720239544 | Marianne Dellner | Marriage & Family Therapist | 4361 Railroad Ave, Suite H, Pleasanton, CA 94566-6611 | 2008-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558868836 | Ngoc Bich Nguyen | Pharmacist | 1763 Santa Rita Road, Pleasanton, CA 94566 | 2018-04-12 |
| 1225556467 | Maureen Mclaughlin | Psychologist | 739 Main Street, Suite A, Pleasanton, CA 94566 | 2017-09-08 |
| 1558884379 | Michael Robles | Chiropractor | 4133 Mohr Ave Ste I, Pleasanton, CA 94566 | 2017-07-24 |
| 1558817353 | Jordan David Washington | Physical Therapist | 3908 Valley Avenur, Suite B, Pleasanton, CA 94566 | 2016-08-31 |
| 1912359449 | Prorehab Healthcare Group of Companies | Home Health | 4725 First St. Suite 274, Pleasanton, CA 94566 | 2016-07-08 |
| 1093179095 | Cielo House Inc | Clinic/Center | 1056 Division St, Pleasanton, CA 94566 | 2016-04-06 |
| 1154795938 | Arley Fong | Marriage & Family Therapist | 4456 Black Ave Ste 200, Pleasanton, CA 94566 | 2015-11-17 |
| 1770953036 | Lindsay Meyer | Psychologist | 4451 Valley Aveneue, E, Pleasanton, CA 94566 | 2015-09-30 |
| 1902239494 | Irfan Akbar | Marriage & Family Therapist | 1181 Santa Rita Rd, 216, Pleasanton, CA 94566 | 2013-08-20 |
| 1316291842 | Dhaval Patel and Amardeep Gill Dental Corporation | Dentist | 6766 Bernal Ave Suite 560, Pleasanton, CA 94566 | 2012-11-06 |
| Find all providers in zip 94566 | ||||
| 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 |
|---|---|---|---|---|
| 1063997377 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 11155 Tucker Rd, Pleasanton, KS 66075-8401 | 2018-10-02 |
| 1336366509 | Axis Community Health Inc | Clinic/Center | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2007-04-19 |
| 1376760546 | Axis Community Health Inc | Clinic/Center | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2007-04-19 |
| 1750364998 | Atascosa Health Center, Inc. | Clinic/Center | 310 W Oaklawn Rd, Pleasanton, TX 78064-4033 | 2005-11-22 |
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| Find all providers with the same taxonomy | ||||
| City | PLEASANTON |
| Zip Code | 94566 |
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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.