NPIMap

Organization Active NPI

Gardner Family Health Network Inc

  • Community Health Clinic/Center
  • San Jose, CA
National Provider Identifier
1306309885
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
GARDNER FAMILY HEALTH NETWORK INC
Practice address
195 E San Fernando St
San Jose, CA 95112-3503
Phone
(408) 935-3918
NPI assigned
Apr 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Reymundo C Espinoza
Title
Ceo
Phone
(408) 200-2291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

195 E San Fernando St
San Jose, CA 95112-3503

Mailing address

1621 Gold St
Alviso, CA 95002-3530
Phone (408) 935-3971

Other identifiers 1

IdentifierTypeStateIssuer
1699041566MedicaidCA

Other names 1

  • John XXIII Health Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL oruiz@gfhn.org Direct

National Provider Directory

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

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1306309885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 GOLD ST",
            "city": "ALVISO",
            "state": "CA",
            "postal_code": "950023530",
            "telephone_number": "408-935-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 E SAN FERNANDO ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123503",
            "telephone_number": "408-935-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER FAMILY HEALTH NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "REYMUNDO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-200-2291"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699041566",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "oruiz@gfhn.org",
            "affiliation": "N",
            "endpointDescription": "oruiz@gfhn.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "195 E San Fernando St",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951123503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "John XXIII Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 10, 2019; 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.