Healing Grove Health Center Inc., a Social Purpose Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HEALING GROVE HEALTH CENTER INC., A SOCIAL PURPOSE CORPORATION

Doing business as

Healing Grove Health Center

Practice address

226 W Alma Ave Ste 10
San Jose, CA 95110-3520

Phone

(408) 583-6338

Fax

(408) 516-1154

NPI assigned

Apr 6, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Cheryl June Ho Thieu, MDNPI 1528022357

Title

Medical Director

Phone

(408) 398-6318

Specialties & licenses 1

Addresses

Other names 1

• Healing Grove Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21049/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl June-Ho Thieu, MD

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1528022357
  Medicare reassignment NPD Authorized official
• Angela Jo Bymaster, MD

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1437392263
  Medicare reassignment NPD
• Constance Hill, PHD, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • San Jose, CA
  • NPI 1346910932
  NPD

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1205465747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 GOODYEAR ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951103201",
            "telephone_number": "408-583-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 W ALMA AVE STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951103520",
            "telephone_number": "408-583-6338",
            "fax_number": "408-516-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING GROVE HEALTH CENTER INC., A SOCIAL PURPOSE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "THIEU",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "JUNE HO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "408-398-6318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Grove Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• HD Ultrasound, LLC (Mint Medical)
• Di He
• Jamie He
• Linnan He
• Healing Angel Treatment Inc
• Healing Hands Acupuncture Clinic. Inc
• Healing Minds Therapy Associates (Holly Hopkins Shah, Psy.D.)
• Healing Property LLC
• Healing Touch Chiropractic Petros, Cherra & Pirnia Corporation (Healing Touch Chiropractic Clinic)
• Healing Wisdom Bay Area Acupuncture and Traditional Chinese Herbs Corp

• Primary Care Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.