NPIMap

Organization Active NPI

Asian Americans for Community Involvement of Santa Clara County, Inc

  • Clinic/Center
  • San Jose, CA
National Provider Identifier
1316338775
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY, INC
Practice address
266 N Jackson Ave Ste 4
San Jose, CA 95116-1606
Phone
(669) 800-6991
NPI assigned
Feb 6, 2015
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Sarita Kohli, LMFT, MBANPI 1376683920
Title
Ceo and President
Phone
(408) 975-2730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

266 N Jackson Ave Ste 4
San Jose, CA 95116-1606

Mailing address

2400 Moorpark Ave Ste 319
San Jose, CA 95128-2625
Phone (408) 975-2730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150514002839 CA Part A Provider - Federally Qualified Health Center (FQHC) 7719880533 Practice locations: San Jose, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316338775. Details of each certification follow.

Federally qualified health center certification: CCN 751144

Legal name
ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 6, 2015
Last certification
May 6, 2015
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Nov 27, 1973 in CA
Enrollment address
266 N Jackson Ave
Ste 4
San Jose, CA 95116-1606

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Accicst21 organizations share this tax ID, including this one
Part of
Accicst

Other organizations with this tax ID 20

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

View all 20

Locations

2400 Moorpark Ave
#3000
San Jose, CA 95128

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Lisa Chen Individual Corporate DirectorBoard Member Mar 1, 2018
Raul Gorospe Individual Corporate DirectorBoard Vice-Chairperson Nov 11, 2019
Heather Kahai Individual W-2 Managing Employee Dec 3, 2016
Monica Nayar Individual Corporate DirectorBoard Treasurer Jul 22, 2020
Asian Americans for Community Involvement of Santa Clara County Organization, San Jose, CA Non-profit 5% Or Greater Direct Ownership Interest Mar 3, 2015 100%
Sarita Kohli Individual Corporate OfficerCeo May 16, 2017
Nira Singh Individual Corporate DirectorDirector of Behavioral Health Servi Nov 2, 2015
W-2 Managing EmployeeDirector of Behavioral Health Servi Nov 2, 2015

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 74

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.

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1316338775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MOORPARK AVE STE 319",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282625",
            "telephone_number": "408-975-2730",
            "fax_number": "408-975-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 N JACKSON AVE STE 4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161606",
            "telephone_number": "669-800-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY INC",
        "enumeration_date": "2015-02-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "SARITA",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "408-975-2730",
        "authorized_official_credential": "LMFT, MBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.