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ROOTS COMMUNITY HEALTH CENTER
NPI 1083145122
Clinic/Center - Primary Care in San Jose, CA

Active since March 21, 2017CLIA Certified · 3 labs
1898 THE ALAMEDA, SAN JOSE, CA 95126(408) 490-4710(510) 550-2644 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2023, Apr 5, 2022, Mar 21, 2017 (3 updates tracked since 2017).

About Roots Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROOTS COMMUNITY HEALTH CENTER (NPI 1083145122) is a healthcare organization registered as a primary care in San Jose, California and active in the NPI registry since March 2017. The organization holds 3 active CLIA laboratory certificates and lists Jerusha Norman, Compliance Administrator, as its authorized official.

NPPES Registry Identity

NPI1083145122
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameROOTS COMMUNITY HEALTH CENTER
Location Address1898 THE ALAMEDASan Jose, CA 95126-1733
Mailing Address9925 International Blvd, #5Oakland, CA 94603-2558 · (510) 777-1177 · Fax (510) 550-2644
Phone(408) 490-4710
Fax(510) 550-2644
Organization SubpartYes
Authorized OfficialJerusha NormanCompliance Administrator · (510) 994-6849
Enumeration DateMarch 21, 2017
Last NPPES UpdateOctober 27, 20233 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
✔ NPI 1083145122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedContractorTaxonomy 171W00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedSupports BrokerageTaxonomy 251X00000X
1898 THE ALAMEDA, San Jose, CA 95126
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2132824

Roots Community Health Center · San Jose, CA
Active · expires Jun 27, 2027
CLIA Number05D2132824
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 28, 2025
Certificate Expiration DateJune 27, 2027
Laboratory DirectorNoha M. Aboelata
Laboratory Phone(408) 490-4710
Laboratory LocationRoots Community Health Center1898 The Alameda, San Jose, CA 95126
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2022761

Roots Community Health Center · Oakland, CA
Active · expires Apr 7, 2027
CLIA Number05D2022761
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 8, 2025
Certificate Expiration DateApril 7, 2027
Laboratory DirectorNoha Aboelata
Laboratory Phone(510) 994-6849
Laboratory LocationRoots Community Health Center9925 International Blvd Ste 5, Oakland, CA 94603
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2167633

Roots Community Health Center · Oakland, CA
Active · expires Jun 11, 2027
CLIA Number05D2167633
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorNoha Aboelata
Laboratory Phone(510) 777-1177
Laboratory LocationRoots Community Health Center7272 Macarthur Blvd, Oakland, CA 94603
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DELIA JONES
Case Manager/Care Coordinator
1898 THE ALAMEDA
SAN JOSE, CA 95126
Santa Clara County (408) 928-1700
JAZLYNN JINNIES
Rehabilitation Practitioner
1898 THE ALAMEDA
SAN JOSE, CA 95126
Santa Clara County (408) 928-1700
PEARL GRETA GREGOIRE
Rehabilitation Practitioner
1898 THE ALAMEDA
SAN JOSE, CA 95126
Santa Clara County (408) 928-1700
STEPHANIE EKEH
Student in an Organized Health Care Education/Training Program
1898 THE ALAMEDA
SAN JOSE, CA 95126
Santa Clara County (408) 928-1700
JUZMINA WILLIAMS
Rehabilitation Practitioner
1898 THE ALAMEDA
SAN JOSE, CA 95126
Santa Clara County (408) 928-1700
UJIMA ADULT AND FAMILY SERVICES INC
Community/Behavioral Health
1898 THE ALAMEDA
SAN JOSE, CA 95126
Santa Clara County (408) 928-1700
MR. ROY WINDOM IV MS, MBA
Counselor (Mental Health)
1898 THE ALAMEDA
SAN JOSE, CA 95126
Santa Clara County (408) 928-1700
ROSS PUSEY
Counselor (Mental Health)
1898 THE ALAMEDA
SAN JOSE, CA 95126
Santa Clara County (408) 928-1700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roots Community Health Center's NPI number?

The NPI number for Roots Community Health Center is 1083145122. It was assigned to this organization in the NPPES registry on March 21, 2017.

Where is Roots Community Health Center located?

Roots Community Health Center is located at 1898 The Alameda, San Jose, CA 95126. The listed phone number is (408) 490-4710.

What is Roots Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Roots Community Health Center hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Roots Community Health Center was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.