HEALING GROVE HEALTH CENTER INC., A SOCIAL PURPOSE CORPORATION
NPI 1205465747
Clinic/Center - Primary Care in San Jose, CA
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Healing Grove Health Center Inc., A Social Purpose Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Healing Grove Health Center Inc., A Social Purpose Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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 Healing Grove Health Center Inc., A Social Purpose Corporation's NPI number?
The NPI number for Healing Grove Health Center Inc., A Social Purpose Corporation is 1205465747. It was assigned to this organization in the NPPES registry on April 6, 2020. The provider is doing business as Healing Grove Health Center.
Where is Healing Grove Health Center Inc., A Social Purpose Corporation located?
Healing Grove Health Center Inc., A Social Purpose Corporation is located at 226 W Alma Ave Ste 10, San Jose, CA 95110. The listed phone number is (408) 583-6338.
What is Healing Grove Health Center Inc., A Social Purpose Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Healing Grove Health Center Inc., A Social Purpose Corporation enrolled in Medicare?
Yes. Healing Grove Health Center Inc., A Social Purpose Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Healing Grove Health Center Inc., A Social Purpose Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Healing Grove Health Center Inc., A Social Purpose Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Healing Grove Health Center Inc., A Social Purpose Corporation hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2188392) is associated with this NPI, valid through July 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Healing Grove Health Center Inc., A Social Purpose Corporation was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Healing Grove Health Center Inc., A Social Purpose Corporation · NPI 1205465747
Primary Care organization in San Jose, California. Organization record, active in the CMS NPPES registry since April 6, 2020.
## Identity
- **NPI:** 1205465747 (Entity type: Organization)
- **Enumerated:** April 6, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Healing Grove Health Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Cheryl Thieu, MEDICAL DIRECTOR
## Practice location
- **Address:** 226 W ALMA AVE STE 10, San Jose, CA 95110-3520
- **Phone:** (408) 583-6338 · **Fax:** (408) 516-1154
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205465747) · Data from the CMS NPPES public registry.