NPIMap

Organization Active NPI

Mayview Community Health Center, Inc.

  • Community Health Clinic/Center
  • Sunnyvale, CA
National Provider Identifier
1396039277
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
550000159 Issued in CA
Legal business name
MAYVIEW COMMUNITY HEALTH CENTER, INC.
Practice address
785 Morse Ave
Sunnyvale, CA 94085-3010
Phone
(408) 746-0455
NPI assigned
Jun 8, 2011
Last updated
Jun 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Shamima Hasan
Title
Chief Executive Officer
Phone
(650) 327-1223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 550000159 CA Primary

Addresses

Primary practice location

785 Morse Ave
Sunnyvale, CA 94085-3010

Mailing address

270 Grant Ave
Palo Alto, CA 94306-1911
Phone (650) 327-1223

Other identifiers 1

IdentifierTypeStateIssuer
CMM71131FMedicaidCA

National Provider Directory

National Provider Directory

Locations

100 Moffett Blvd
Ste 101
Mountain View, CA 94043
Phone (650) 965-3323

900 Miramonte Ave
Mountain View, CA 94040
Phone (650) 327-8717

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1396039277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 GRANT AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061911",
            "telephone_number": "650-327-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 MORSE AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940853010",
            "telephone_number": "408-746-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYVIEW COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "SHAMIMA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "650-327-1223"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "550000159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM71131F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.