SAN LEANDRO MOBILE VAN
NPI 1720405491
Clinic/Center - Federally Qualified Health Center (FQHC) in San Leandro, CA

Active since March 19, 2014
16110 E 14TH ST, SAN LEANDRO, CA 94578(510) 471-5907 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2022, Aug 26, 2021, Aug 3, 2021 (3 updates tracked since 2021).

About San Leandro Mobile Van NPPES

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

SAN LEANDRO MOBILE VAN (NPI 1720405491) is a healthcare organization registered as a federally qualified health center (fqhc) in San Leandro, California and active in the NPI registry since March 2014. The organization lists Andrea Schwab-galindo, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1720405491
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTIBURCIO VASQUEZ HEALTH CENTER, INC.
Location Address16110 E 14TH STSan Leandro, CA 94578-3002
Mailing Address22331 Mission BlvdHayward, CA 94541-3911 · (510) 690-6052
Organization SubpartNo
Authorized OfficialAndrea Schwab-galindoChief Executive Officer · (510) 460-3855
Enumeration DateMarch 19, 2014
Last NPPES UpdateApril 4, 20223 updates tracked since enumeration
NPPES CertifiedApril 4, 2022
✔ NPI 1720405491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
16110 E 14TH ST, San Leandro, CA 94578

Other Names 1

Other NameSan Leandro Mobile Van

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Leandro Mobile Van is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20040309001428Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to San Leandro Mobile Van, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner11
Family Practice4
Internal Medicine4
Pediatric Medicine3
Certified Nurse Midwife (CNM)1
Clinical Social Worker1
Optometry1

Nearest to this location (20)

See all 25
Pediatric Medicine
NPI 1720143662
16110 E 14TH ST
Ashland, CA 94578
(510) 471-5880
✔ PECOSSame address
Nurse Practitioner
NPI 1124563309
16110 E 14TH ST
Ashland, CA 94578
(510) 471-5880
✔ PECOSSame address
Optometry
NPI 1619233285
16110 E 14TH ST
Ashland, CA 94578
(510) 471-5880
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1588804827
16110 E 14TH ST
San Leandro, CA 94578
(510) 398-7500
✔ PECOSSame address
Nurse Practitioner
NPI 1417473224
16110 E 14TH ST
Ashland, CA 94578
(510) 471-5880
✔ PECOSSame address
Nurse Practitioner
NPI 1841953874
19400 SANTA MARIA AVE RM P7P8
Castro Valley, CA 94546
(510) 471-5880
✔ PECOS2.2 mi
Nurse Practitioner
NPI 1306160262
22331 MISSION BLVD
Hayward, CA 94541
(510) 471-5880
✔ PECOS✔ Accepts Medicare2.3 mi
Family Practice
NPI 1326126152
22331 MISSION BLVD
Hayward, CA 94541
(510) 471-5880
✔ PECOS2.3 mi
Pediatric Medicine
NPI 1932284650
22331 MISSION BLVD
Hayward, CA 94541
(510) 471-5880
✔ PECOS2.3 mi
Nurse Practitioner
NPI 1730738733
22331 MISSION BLVD
Hayward, CA 94541
(510) 471-5880
✔ PECOS2.3 mi
Internal Medicine
NPI 1821173584
22331 MISSION BLVD
Hayward, CA 94541
(510) 471-5880
✔ PECOS2.3 mi
Nurse Practitioner
NPI 1699011783
22331 MISSION BLVD
Hayward, CA 94541
(510) 471-5880
✔ PECOS2.3 mi
Nurse Practitioner
NPI 1760949143
22331 MISSION BLVD
Hayward, CA 94541
(510) 471-5880
✔ PECOS2.3 mi
Nurse Practitioner
NPI 1861611840
25555 HESPERIAN BLVD RM 2315
Hayward, CA 94545
(510) 471-5880
✔ PECOS✔ Accepts Medicare3.9 mi
Internal Medicine
NPI 1710483607
28300 HUNTWOOD AVE
Hayward, CA 94544
(510) 398-7474
✔ PECOS✔ Accepts Medicare5.4 mi
Nurse Practitioner
NPI 1891000188
2417 CENTRAL AVE
Alameda, CA 94501
(510) 752-1190
✔ PECOS8.2 mi
Clinical Social Worker
NPI 1164556023
33255 9TH ST
Union City, CA 94587
(510) 471-5880
✔ PECOS8.2 mi
Internal Medicine
NPI 1326482597
33255 9TH ST
Union City, CA 94587
(510) 471-5880
✔ PECOS8.2 mi
Family Practice
NPI 1023458528
33255 9TH ST
Union City, CA 94587
(510) 471-5880
✔ PECOS8.2 mi
Pediatric Medicine
NPI 1063718765
33255 9TH ST
Union City, CA 94587
(510) 471-5880
✔ PECOS8.2 mi
See all 25 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tiburcio Vasquez Health Center, Inc.'s NPI number?

The NPI number for Tiburcio Vasquez Health Center, Inc. is 1720405491. It was assigned to this organization in the NPPES registry on March 19, 2014. The provider is also known as San Leandro Mobile Van.

Where is Tiburcio Vasquez Health Center, Inc. located?

Tiburcio Vasquez Health Center, Inc. is located at 16110 E 14th St, San Leandro, CA 94578. The listed phone number is (510) 471-5907.

What is Tiburcio Vasquez Health Center, Inc.'s specialty?

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

Is Tiburcio Vasquez Health Center, Inc. enrolled in Medicare?

Yes. Tiburcio Vasquez Health Center, Inc. is registered in the Medicare PECOS enrollment system.

When is Tiburcio Vasquez Health Center, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Tiburcio Vasquez Health Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 7 Medicare specialties reassign their Medicare billing to Tiburcio Vasquez Health Center, Inc.. 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. The largest specialties are Nurse Practitioner (11), Family Practice (4) and Internal Medicine (4). Of these, 5 practice at this address and 21 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tiburcio Vasquez Health Center, Inc. was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.