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: August 16, 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

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.

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

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 Bay Area Community Health's NPI number?

The NPI number for Bay Area Community Health is 1497021109. It was assigned to this organization in the NPPES registry on March 27, 2012. The provider is doing business as Bay Area Community Health - Main Street Village.

Where is Bay Area Community Health located?

Bay Area Community Health is located at 3607 Main St Ste B, Fremont, CA 94538. The listed phone number is (510) 770-8040.

What is Bay Area Community Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Bay Area Community Health was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.