NPIMap

Organization Active NPI

Axis Community Health Inc

Doing business as Axis Community Health

  • Federally Qualified Health Center (FQHC)
  • Pleasanton, CA
National Provider Identifier
1376760546
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
EAP11593F Issued in CA
Legal business name
AXIS COMMUNITY HEALTH INC
Practice address
4361 Railroad Ave
Pleasanton, CA 94566-6611
Phone
(925) 462-1755
NPI assigned
Apr 19, 2007
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Elizabeth Perez-Howe
Title
Ceo
Phone
(925) 462-1755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X EAP11593F CA Primary

Addresses

Primary practice location

4361 Railroad Ave
Pleasanton, CA 94566-6611

Mailing address

4361 Railroad Ave
Pleasanton, CA 94566-6611
Phone (925) 462-1755

Other names 1

  • AXIS COMMUNITY HEALTH Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041222000621 CA Part B Supplier - Clinic/Group Practice 7012975071 Receives reassigned benefits from 18 practitioners
4 other NPIs on this enrollment
Practice locations: Pleasanton, CA

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
Axis Community Health9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Axis Community HealthPleasanton, CA, CCN 551018 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 22, 1972
Axis Community HealthPleasanton, CA, CCN 751866 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 22, 1972
Axis Community HealthLivermore, CA, CCN A11022 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 22, 1972

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1376760546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4361 RAILROAD AVE",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666611",
            "telephone_number": "925-462-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 RAILROAD AVE",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666611",
            "telephone_number": "925-462-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS COMMUNITY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "PEREZ-HOWE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-462-1755"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "EAP11593F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AXIS COMMUNITY HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AXIS COMMUNITY HEALTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.