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BROADWAY HIGH SCHOOL
NPI 1285081257
Community/Behavioral Health in San Jose, CA

Active since May 19, 2016
160 E VIRGINIA ST STE 280, SAN JOSE, CA 95112(408) 287-6200 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broadway High School NPPES

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

BROADWAY HIGH SCHOOL (NPI 1285081257) is a healthcare organization registered as a community/behavioral health in San Jose, California and active in the NPI registry since May 2016. The organization lists Loren Gissible, Program Coordinatior, as its authorized official.

NPPES Registry Identity

NPI1285081257
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBROADWAY HIGH SCHOOL
Location Address160 E VIRGINIA ST STE 280San Jose, CA 95112-5817
Mailing Address4825 Speak LnSan Jose, CA 95118-3769 · (408) 287-6200
Phone(408) 287-6200
Organization SubpartYesParent: Gardner Family Care Corporation
Authorized OfficialLoren GissibleProgram Coordinatior · (408) 287-6200
Enumeration DateMay 19, 2016
✔ NPI 1285081257 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.
160 E VIRGINIA ST STE 280, San Jose, CA 95112
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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.

MICHAEL PATRICK STRONG
Marriage & Family Therapist
160 E VIRGINIA ST STE 280
SAN JOSE, CA 95112
Santa Clara County (408) 938-2113
SOVEARY CHEA
Social Worker
160 E VIRGINIA ST STE 280
SAN JOSE, CA 95112
Santa Clara County (408) 287-6200
MAYLYNE HANON
Rehabilitation Practitioner
160 E VIRGINIA ST STE 280
SAN JOSE, CA 95112
Santa Clara County (408) 457-7100
ANGELICA MARIA HOLGUIN
Counselor (Mental Health)
160 E VIRGINIA ST STE 280
SAN JOSE, CA 95112
Santa Clara County (408) 287-6200
MELEENA ILIANA RAYGOZA
Student in an Organized Health Care Education/Training Program
160 E VIRGINIA ST STE 280
SAN JOSE, CA 95112
Santa Clara County (408) 938-2113
JOVANI QUINONES
Counselor (Mental Health)
160 E VIRGINIA ST STE 280
SAN JOSE, CA 95112
Santa Clara County (408) 579-6178
GAO NTXI HER LCSW
Social Worker (Clinical)
160 E VIRGINIA ST STE 280
SAN JOSE, CA 95112
Santa Clara County (408) 287-6200
CHRISTIAN MCKENZIE
Counselor (Mental Health)
160 E VIRGINIA ST STE 280
SAN JOSE, CA 95112
Santa Clara County (408) 938-2113

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 Broadway High School's NPI number?

The NPI number for Broadway High School is 1285081257. It was assigned to this organization in the NPPES registry on May 19, 2016.

Where is Broadway High School located?

Broadway High School is located at 160 E Virginia St Ste 280, San Jose, CA 95112. The listed phone number is (408) 287-6200.

What is Broadway High School'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 Broadway High School was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.