BAY AREA COMMUNITY HEALTH - MAIN STREET VILLAGE
NPI 1497021109
Clinic/Center - Federally Qualified Health Center (FQHC) in Fremont, CA

Active since March 27, 2012
3607 MAIN ST STE B, FREMONT, CA 94538(510) 770-8040(510) 623-8926 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 7, 2021, Jul 15, 2020 (2 updates tracked since 2020).

About Bay Area Community Health - Main Street Village NPPES

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

BAY AREA COMMUNITY HEALTH - MAIN STREET VILLAGE (NPI 1497021109) is a healthcare organization registered as a federally qualified health center (fqhc) in Fremont, California and active in the NPI registry since March 2012. The organization lists Zettie D Page, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497021109
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBAY AREA COMMUNITY HEALTH
Location Address3607 MAIN ST STE BFremont, CA 94538-4390
Mailing Address40910 Fremont BlvdFremont, CA 94538-4375 · (510) 770-8040 · Fax (510) 623-8926
Fax(510) 623-8926
Organization SubpartYes
Authorized OfficialZettie D PageCeo · (510) 252-6811
Enumeration DateMarch 27, 2012
Last NPPES UpdateMay 7, 20212 updates tracked since enumeration
NPPES CertifiedMay 7, 2021
NPI 1497021109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License Licensed in CA · 550002016
3607 MAIN ST STE B, Fremont, CA 94538

Other Names 1

Doing Business AsBay Area Community Health - Main Street Village

Other Identifiers 2

Medicaid1497021109CA
Other550002016CA · Clinic License

Reviews for BAY AREA COMMUNITY HEALTH - MAIN STREET VILLAGE

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
3607 MAIN ST STE B
FREMONT, CA 94538
Physician Assistant
3607 MAIN ST STE B
FREMONT, CA 94538

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497021109, enumerated as an "organization" on March 27, 2012.

The provider is located at 3607 MAIN ST STE B FREMONT, CA 94538 and the phone number is (510) 770-8040.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.