GARDNER FAMILY HEALTH NETWORK INC
NPI 1255150561
Community/Behavioral Health in San Jose, CA

Active since October 04, 2024
617 N JACKSON AVE, SAN JOSE, CA 95133(408) 938-2112 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gardner Family Health Network Inc NPPES

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

GARDNER FAMILY HEALTH NETWORK INC (NPI 1255150561), doing business as Independence High School, is a healthcare organization registered as a community/behavioral health in San Jose, California and active in the NPI registry since October 2024. The organization lists Laura Perez, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1255150561
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGARDNER FAMILY HEALTH NETWORK INC
Location Address617 N JACKSON AVESan Jose, CA 95133-2345
Mailing Address617 N Jackson AveSan Jose, CA 95133-2345 · (408) 938-2112
Organization SubpartNo
Authorized OfficialLaura PerezCredentialing Specialist · (408) 938-2113
Enumeration DateOctober 4, 2024
NPPES CertifiedOctober 4, 2024
NPI 1255150561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
617 N JACKSON AVE, San Jose, CA 95133

Other Names 1

Doing Business AsIndependence High School

Other Providers at the Same Location NPPES 3

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

Social Worker (School)
617 N JACKSON AVE
SAN JOSE, CA 95133
Social Worker (School)
617 N JACKSON AVE
SAN JOSE, CA 95133
Health and Wellness Coach
617 N JACKSON AVE
SAN JOSE, CA 95133

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 Gardner Family Health Network Inc's NPI number?

The NPI number for Gardner Family Health Network Inc is 1255150561. It was assigned to this organization in the NPPES registry on October 4, 2024. The provider is doing business as Independence High School.

Where is Gardner Family Health Network Inc located?

Gardner Family Health Network Inc is located at 617 N Jackson Ave, San Jose, CA 95133. The listed phone number is (408) 938-2112.

What is Gardner Family Health Network Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Gardner Family Health Network Inc was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.