GARDNER FAMILY HEALTH NETWORK INC (NPI# 1700915097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700915097 |
| Entity Type | Organization |
| Organization Name | GARDNER FAMILY HEALTH NETWORK INC |
| Other Organization Name | ST JAMES HEALTH CENTER |
| Practice Address |
55 E Julian St San Jose CA 95112-4007 |
| Mailing Address |
Po Box 1240 Alviso CA 95002-1240 |
| Practice Telephone | 4089353933 |
| Practice Fax Number | 4089353988 |
| Mailing Telephone | 4089353933 |
| Mailing Fax Number | 4089353988 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2013-07-08 |
| Authorized Official Name | OFELIA RUIZ (DIRECTOR) |
| Authorized Official Telephone | 4089353971 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
FHC70262F | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SOFPSTJ | HAP70014F | 01 |
| CA | BCEDPSTJ | BCP70014F | 01 |
| CA | EAPCSTJ | EAP70014F | 01 |
| CA | FHC70014F | 05 |
| Other Name | Type Code |
|---|---|
| ST JAMES 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 |
| 1306309885 | Gardner Family Health Network Inc | Clinic/Center | 195 E San Fernando St, San Jose, CA 95112-3503 | 2019-04-10 |
| 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 |
| 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 |
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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1770027047 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 3434 Silver Creek Rd, Room M1, San Jose, CA 95121-1845 | 2016-12-06 |
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| 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.