Bay Area Community Health

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

550000139 Issued in CA

Legal business name

BAY AREA COMMUNITY HEALTH

Doing business as

Aborn Dental Clinic
BACH - Mobile Health Clinic #6
BACH - Mobile Health Clinic #715 more in Other names

Practice address

1999 Mowry Avenue Suite a&B&D&F&N
Fremont, CA 94538-1436

Phone

(510) 770-8040

Fax

(510) 623-8926

NPI assigned

Nov 29, 2006

Last updated

Feb 23, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

BAY AREA COMMUNITY HEALTHAs reported in NPPES

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

Authorized official

Name

Navneet Bains

Title

Deputy Director of Client Services

Phone

(916) 419-7292

Specialties & licenses 2

Addresses

Other names 18

• Aborn Dental Clinic Doing business as
• BACH - Mobile Health Clinic #6 Doing business as
• BACH - Mobile Health Clinic #7 Doing business as
• BACH Dental Mobile Clinic V Doing business as
• BACH Family Clinic Doing business as
• BACH Mobile Health Clinic IV Doing business as
• BACH Senior Mobile Health Clinic I Doing business as
• Bach- Mobile Health Clinic #8 Doing business as
• Bay Area Community Health - Mowry II Doing business as
• Bay Area Community Health - Mowry III Clinic Doing business as
• Bay Area Community Health Center Of Gilroy Doing business as
• Bay Area Community Health Center Of Gilroy - Dental Doing business as
• La Pala Dental Clinic Doing business as
• Martha Ave Dental Doing business as
• Monterey Plaza Health Clinic Doing business as
• Montpelier Health Center Doing business as
• Montpelier Health Center - Dental Doing business as
• Mt. Pleasant Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1184791998. Details of each certification follow.

• CCN 551059 Federally qualified health center · Active · Details
• CCN 921196 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 551059

Legal name

BAY AREA COMMUNITY HEALTH

Doing business as

BAY AREA COMMUNITY HEALTH - MOWRY II

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 5, 2010

Last certification

Oct 5, 2010

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Dec 6, 1972 in CA

Enrollment address

1999 Mowry Ave
Suite a,D,F,N
Fremont, CA 94538-1723

Federally qualified health center certification: CCN 921196

Legal name

BAY AREA COMMUNITY HEALTH

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 25, 2019

Last certification

Oct 25, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Dec 6, 1972 in CA

Enrollment address

1860 Mowry Ave
Ste 400
Fremont, CA 94538-1730

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bay Area Community Health

  dba Mowry I

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1033296272

  1658349824

  Same PAC ID
• Bay Area Community Health

  dba Bay Area Community Health Irvington Dave Clinic II

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1245719129

  1658349824

  Same PAC ID
• Bay Area Community Health

  dba Bay Area Community Health - Main Street Village

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1497021109

  1658349824

  Same PAC ID
• Bay Area Community Health

  dba Monterey Plaza Health Clinic

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1598387680

  1658349824

  Same PAC ID
• Bay Area Community Health

  dba Mt. Pleasant Health Center

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1659993699

  1658349824

  Same PAC ID
• Bay Area Community Health

  dba McKee Health Clinic

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1679381107

  1658349824

  Same PAC ID
• Bay Area Community Health

  dba BACH School Mobile Health Clinic II

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1780054379

  1658349824

  Same PAC ID
• Bay Area Community Health

  dba Bay Area Community Health Center Of Gilroy

  • Federally Qualified Health Center (FQHC)
  • Gilroy, CA
  • NPI 1871115964

  1658349824

  Same PAC ID
• Bay Area Community Health

  dba Bay Area Community Health - Hope Project

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1942387188

  1658349824

  Same PAC ID
• Bay Area Community Health

  dba BACH Family Clinic

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1962024059

  1658349824

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bay Area Community Health

  dba BACH School Mobile Health Clinic II

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1780054379

  O20050330001237

  Same enrollment

Part of

Tri City Family Plannin

Locations

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Bay Area Community Health

  dba Monterey Plaza Health Clinic

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1598387680

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Bay Area Community Health

  dba Mt. Pleasant Health Center

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1659993699

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Bay Area Community Health

  dba Bay Area Community Health Center Of Gilroy

  • Federally Qualified Health Center (FQHC)
  • Gilroy, CA
  • NPI 1871115964

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Bay Area Community Health

  dba BACH Family Clinic

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1962024059

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Practitioners 107

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.

• Claudia Adame, FNP

  • Family Nurse Practitioner
  • Oakland, CA
  • NPI 1538566179
  NPD
• Hiba Ahmed, DC

  • Chiropractor
  • Fremont, CA
  • NPI 1497463889
  NPD
• Elaine Jaekyung Ahn, NP

  • Family Nurse Practitioner
  • Hayward, CA
  • NPI 1639901739
  NPD
• Kimberly Anderson, NP

  • Adult Health Nurse Practitioner
  • Fremont, CA
  • NPI 1841960655
  NPD
• Aparna Arun, MD

  • Pediatrics Physician
  • San Jose, CA
  • NPI 1295973782
  NPD
• Sreedevi Jadcherla Ayyala, MD

  • Internal Medicine Physician
  • Commerce, CA
  • NPI 1093893679
  NPD
• Piper Qiao Bahr, O.D.

  • Optometrist
  • Fremont, CA
  • NPI 1881057016
  NPD
• Pedram Baniamerian

  • Chiropractor
  • Santa Clara, CA
  • NPI 1710788450
  NPD
• Hui Bettencourt, PA

  • Physician Assistant
  • San Jose, CA
  • NPI 1598795791
  NPD
• Rabea Bounar, P.A.-C

  • Medical Physician Assistant
  • San Jose, CA
  • NPI 1972894749
  NPD
• Hector Erwin Castroverde Busante, PA-C

  • Physician Assistant
  • San Jose, CA
  • NPI 1487943577
  NPD
• Nataliya Carlson

  • Obstetrics & Gynecology Physician
  • San Jose, CA
  • NPI 1194083477
  NPD

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1184791998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40910 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384375",
            "telephone_number": "510-770-8040",
            "fax_number": "510-623-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MOWRY AVENUE SUITE A&B&D&F&N",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381436",
            "telephone_number": "510-770-8040",
            "fax_number": "510-623-8926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5504 Monterey Hwy",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951381529",
            "country_code": "US",
            "telephone_number": "408-729-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2380 Montpelier Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161620",
            "country_code": "US",
            "telephone_number": "408-729-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2380 Montpelier Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161620",
            "country_code": "US",
            "telephone_number": "408-729-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 S White Rd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951274758",
            "country_code": "US",
            "telephone_number": "408-928-5250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1066 S White Rd Ste 170",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951273812",
            "country_code": "US",
            "telephone_number": "408-729-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9460 No Name Uno,",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Gilroy",
            "state": "CA",
            "postal_code": "95020",
            "country_code": "US",
            "telephone_number": "408-729-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2060 Aborn Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951211586",
            "country_code": "US",
            "telephone_number": "408-729-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1860 Mowry Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381730",
            "country_code": "US",
            "telephone_number": "510-770-8040",
            "fax_number": "510-625-8926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4949 Thornton Ave",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945366412",
            "country_code": "US",
            "telephone_number": "510-770-8040",
            "fax_number": "510-625-8926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38056 Martha Ave",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945363809",
            "country_code": "US",
            "telephone_number": "510-770-8040",
            "fax_number": "510-625-8926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "242 La Pala Dr Ste A&b",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951272103",
            "country_code": "US",
            "telephone_number": "408-729-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9460 No Name Uno",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Gilroy",
            "state": "CA",
            "postal_code": "95020",
            "country_code": "US",
            "telephone_number": "408-729-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY AREA COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAY AREA COMMUNITY HEALTH",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "BAINS",
        "authorized_official_first_name": "NAVNEET",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR OF CLIENT SERVICES",
        "authorized_official_telephone_number": "916-419-7292"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "550000139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aborn Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BACH - Mobile Health Clinic #6",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BACH - Mobile Health Clinic #7",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BACH Dental Mobile Clinic V",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BACH Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BACH Mobile Health Clinic IV",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BACH Mobile Health Clinic IV",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BACH Senior Mobile Health Clinic I",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bach- Mobile Health Clinic #8",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bay Area Community Health - Mowry II",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bay Area Community Health - Mowry III Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bay Area Community Health Center Of Gilroy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bay Area Community Health Center Of Gilroy - Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "La Pala Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Martha Ave Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monterey Plaza Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montpelier Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montpelier Health Center - Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mt. Pleasant Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachelle Mitzi Franco Bautista
• Virgilio Serra Bautista, D.M.D.
• Bay Area Cardiovascular Medical Group
• Bay Area Community Health (Mowry I)
• Bay Area Community Health
• Bay Area Community Health (Bay Area Community Health Irvington Dave Clinic II)
• Bay Area Community Health (Bay Area Community Health - Mowry III Clinic)
• Bay Area Community Health (Bay Area Community Health - Main Street Village)
• Bay Area Community Health
• Bay Area Community Health

• Federally Qualified Health Center (FQHC) in Fremont, CA
• Providers in Fremont, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.