HEALING GROVE HEALTH CENTER INC., A SOCIAL PURPOSE CORPORATION
NPI 1205465747
Clinic/Center - Primary Care in San Jose, CA

Active since April 06, 2020CLIA 05D2188392 · Microscopy
226 W ALMA AVE STE 10, SAN JOSE, CA 95110(408) 583-6338(408) 516-1154 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Healing Grove Health Center Inc., A Social Purpose Corporation NPPES

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

HEALING GROVE HEALTH CENTER INC., A SOCIAL PURPOSE CORPORATION (NPI 1205465747), doing business as Healing Grove Health Center, is a healthcare organization registered as a primary care in San Jose, California and active in the NPI registry since April 2020. The organization holds a CLIA Microscopy certificate valid through July 15, 2028 and lists Cheryl June Ho Thieu, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1205465747
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHEALING GROVE HEALTH CENTER INC., A SOCIAL PURPOSE CORPORATION
Location Address226 W ALMA AVE STE 10San Jose, CA 95110-3520
Mailing Address448 Goodyear StSan Jose, CA 95110-3201 · (408) 583-6338
Fax(408) 516-1154
Organization SubpartNo
Authorized OfficialCheryl June Ho ThieuMedical Director · (408) 398-6318
Enumeration DateApril 6, 2020
NPPES CertifiedApril 6, 2020
NPI 1205465747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
226 W ALMA AVE STE 10, San Jose, CA 95110

Other Names 1

Doing Business AsHealing Grove Health Center

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2188392

Healing Grove Health Center Inc A Social Purpose Corporation · San Jose, CA
Active · expires Jul 15, 2028
CLIA Number05D2188392
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2026
Certificate Expiration DateJuly 15, 2028
Laboratory DirectorAngela Bymaster
Laboratory Phone(405) 483-6338
Laboratory LocationHealing Grove Health Center Inc A Social Purpose Corporation448 Goodyear St, San Jose, CA 95110
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

Family Medicine
226 W ALMA AVE STE 10
SAN JOSE, CA 95110
Nurse Practitioner (Psychiatric/Mental Health)
226 W ALMA AVE STE 10
SAN JOSE, CA 95110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205465747, enumerated as an "organization" on April 06, 2020.

The provider is located at 226 W ALMA AVE STE 10 SAN JOSE, CA 95110 and the phone number is (408) 583-6338.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.