NPIMap

Organization Active NPI

Gardner Family Health Network

  • Community/Behavioral Health Agency
  • San Jose, CA
National Provider Identifier
1063685311
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GARDNER FAMILY HEALTH NETWORK
Practice address
160 E Virginia St Ste 264
San Jose, CA 95112-5848
Phone
(408) 977-1591
Fax
(408) 998-1535
NPI assigned
Apr 8, 2008
Last updated
Jul 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
GARDNER FAMILY HEALTH NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laura Perez
Title
Credentialing Specialist
Phone
(408) 938-2113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

160 E Virginia St Ste 264
San Jose, CA 95112-5848

Mailing address

160 E Virginia St Ste 100
San Jose, CA 95112-5865
Phone (408) 938-2113

Other names 1

  • Proyecto Primavera Other name

National Provider Directory

National Provider Directory
Tax ID family
St James Health Center33 organizations share this tax ID, including this one
Part of
St James Health Center

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

160 E Virginia St
Ste 264
San Jose, CA 95112
Phone (408) 977-1591

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1063685311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E VIRGINIA ST STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125865",
            "telephone_number": "408-938-2113",
            "fax_number": "408-579-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E VIRGINIA ST STE 264",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125848",
            "telephone_number": "408-977-1591",
            "fax_number": "408-998-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER FAMILY HEALTH NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARDNER FAMILY HEALTH NETWORK",
        "enumeration_date": "2008-04-08",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "408-938-2113"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proyecto Primavera",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Proyecto Primavera",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.