AXIS COMMUNITY HEALTH INC (NPI# 1710105408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710105408 |
| Entity Type | Organization |
| Organization Name | AXIS COMMUNITY HEALTH INC |
| Other Organization Name | AXIS COMMUNITY HEALTH |
| Practice Address |
3311 Pacific Ave Livermore CA 94550-7007 |
| Mailing Address |
4361 Railroad Ave Pleasanton CA 94566-6611 |
| Practice Telephone | 9254471881 |
| Mailing Telephone | 9254621755 |
| Enumeration Date | 2007-04-20 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
HAP70205F | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| AXIS COMMUNITY HEALTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306877121 | Axis Community Health Inc | Clinic/Center | 3311 Pacific Ave, Livermore, CA 94551 | 2006-07-06 |
| 1669403390 | Axis Community Health Inc | Clinic/Center | 4361 Railroad Ave, Pleasanton, CA 94566-6611 | 2006-07-05 |
| 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 |
| 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 |
3311 PACIFIC AVE |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94550-7007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306877121 | Axis Community Health Inc | Clinic/Center | 3311 Pacific Ave, Livermore, CA 94551 | 2006-07-06 |
| 1306354428 | Lauren Elizabeth Ham | Counselor | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2018-01-11 |
| 1760999270 | Amelia Patimasang Harmon | Peer Specialist | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2018-01-05 |
| 1699211482 | Kinalani Hoe | Social Worker | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2017-01-17 |
| 1578962064 | Guadalupe Guillermina Barattino | Community Health Worker | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2014-08-20 |
| 1114253457 | Edward Liu | Registered Nurse | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2009-10-21 |
| 1225219942 | Nelida I Villanueva | Case Manager/Care Coordinator | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2007-11-21 |
| 1093893679 | Sreedevi Jadcherla Ayyala | Internal Medicine | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2006-11-01 |
| 1891898102 | Suzanne Silva | Nurse Practitioner | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760964456 | Janice Leigh Maurer | Marriage & Family Therapist | 2222 Second Street, Suite 14, Livermore, CA 94550 | 2018-08-30 |
| 1437607223 | Stephanie Madrid | Community Health Worker | 1401 Almond Avenue, 20, Livermore, CA 94550 | 2016-09-21 |
| 1174078869 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 4200 East Avenue, Suite 100, Livermore, CA 94550 | 2016-08-23 |
| 1689030173 | Gregory Pon | Physical Therapist | 87 Fenton Street Suite 106, Livermore, CA 94550 | 2016-01-13 |
| 1679954119 | Victoria Bowers | Marriage & Family Therapist | 3363 Pacific Ave, Livermore, CA 94550 | 2015-06-10 |
| 1912300674 | Tiffany Michelle Tchang | Occupational Therapist | 72 Fenton St., Livermore, CA 94550 | 2014-10-08 |
| 1912306622 | Melissa Marie Moore Jessop | Optometrist | 1171 Murrieta Boulevard, Suite 100, Livermore, CA 94550 | 2014-08-19 |
| 1285986216 | Kathleen Noonan | Registered Nurse | 11689 Tesla Road, Livermore, CA 94550 | 2012-10-15 |
| 1275882169 | Linda Young-miller | Psychologist | 1797 4th Street, Del Valle Clinic, Livermore, CA 94550 | 2012-09-06 |
| 1124397054 | Linda Lollini | Dentist | 1920 Pinewood Cmns, Livermore, CA 94550 | 2011-12-21 |
| Find all providers in zip 94550 | ||||
| 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 |
|---|---|---|---|---|
| 1306877121 | Axis Community Health Inc | Clinic/Center | 3311 Pacific Ave, Livermore, CA 94551 | 2006-07-06 |
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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.