SAN JOSE BACH FAMILY COMMUNITY CLINIC, INC - NPI 1780054379

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

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About San Jose Bach Family Community Clinic, Inc NPPES

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

SAN JOSE BACH FAMILY COMMUNITY CLINIC, INC (NPI 1780054379) is a healthcare organization registered as a federally qualified health center (fqhc) in Fremont, California and active in the NPI registry since September 2015. The organization maintains 9 additional practice locations and lists Zettie D Page, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780054379

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameBAY AREA COMMUNITY HEALTH

Location Address40910 FREMONT BLVDFremont, CA 94538-4375

Mailing Address40910 Fremont BlvdFremont, CA 94538-4375 · (510) 252-5880

Phone(510) 770-8133

Organization SubpartYes

Authorized OfficialZettie D PageCeo · (510) 623-8926

Enumeration DateSeptember 25, 2015

Last NPPES UpdateFebruary 2, 20225 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2022

✔ NPI 1780054379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

40910 FREMONT BLVD, Fremont, CA 94538

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Other Names 12

Doing Business AsSan Jose Bach Family Community Clinic, Inc

Doing Business AsBach School Mobile Health Clinic Ii

Doing Business AsBay Area Community Health - Momentum At The Alameda

Doing Business AsBay Area Community Health - Andrew Hill High School

Doing Business AsBay Area Community Health - Glen View Clinic

Doing Business AsBay Area Community Health - Independence High School Clinic

Doing Business AsBay Area Community Health - Irvington Dave Clinic

Doing Business AsBay Area Community Health - Momentum At The Crossroads

Doing Business AsBay Area Community Health - Silver Creek High School Clinic

Doing Business AsBay Area Community Health Irvington Dave Clinic Ii

Doing Business AsBay Area Community Health Irvington Dave Clinic Ii - Medical Services

Doing Business AsSantee-yerba Buena Community Health Center

Secondary Practice Locations 9

Location 1617 N Jackson Ave Bldg 1San Jose, CA 95133-2345 · Phone (408) 928-9599

Location 240930 Fremont BlvdFremont, CA 94538-4375 · Phone (510) 770-8040

Location 32880 Story Rd Ste 10San Jose, CA 95127-3942 · Phone (408) 729-9700

Location 41855 Lucretia Ave Bldg MSan Jose, CA 95122-3730 · Phone (408) 347-4751

Location 5480 W 8th StGilroy, CA 95020-6474 · Phone (408) 337-3221

Location 63200 Senter Rd Rm S104San Jose, CA 95111-1332 · Phone (408) 347-4240

Location 7438 N White RdSan Jose, CA 95127-1439 · Phone (408) 254-6828 ext. 1512

Location 840924 Fremont BlvdFremont, CA 94538-4375 · Phone (510) 770-8040

Location 93434 Silver Creek Rd Rm M1San Jose, CA 95121-1899 · Phone (408) 928-6130

Other Identifiers 2

Medicaid1780054379CA

Other550003720CA · License #

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

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.

YUMEI MARY WANG

Registered Nurse (General Practice)