BAY AREA COMMUNITY HEALTH NPI 1780054379

NPI Information

NPI: 1780054379
Provider Name: BAY AREA COMMUNITY HEALTH
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Doing Business As: SAN JOSE BACH FAMILY COMMUNITY CLINIC, INC
Address: 40910 FREMONT BLVD
FREMONT, CA
ZIP 94538
Phone: (510) 770-8133

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NPI Details

BAY AREA COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in Fremont, CA. BAY AREA COMMUNITY HEALTH NPI is 1780054379. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As San Jose Bach Family Community Clinic, Inc.

The provider's business location address is:

40910 FREMONT BLVD
FREMONT, CA
ZIP 94538-375
Phone: (510) 770-8133

The provider's authorized official is Zettie D Page .
The authorized official title is Ceo and has the following contact phone number (510) 623-8926.

The enumeration date for this NPI number is 9/25/2015 and was last updated on 2/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1780054379	MEDICAID	CALIFORNIA
2	550003720	OTHER	CALIFORNIA	LICENSE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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