Mayview Community Health Center, Inc.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

220000415 Issued in CA

Legal business name

MAYVIEW COMMUNITY HEALTH CENTER, INC.

Practice address

900 Miramonte Ave
2ND Floor
Mountain View, CA 94040-2457

Phone

(650) 965-3323

NPI assigned

Jun 8, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Shamima Hasan

Title

Chief Executive Officer

Phone

(650) 327-1223

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mayview Community Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mayview Community Clinic

  • Clinic/Center
  • Mountain View, CA
  • NPI 1538348750
  NPD tax ID
• Mayview Community Clinic

  • Clinic/Center
  • Palo Alto, CA
  • NPI 1720288822
  NPD tax ID

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1437443363",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MIRAMONTE AVE",
            "address_2": "2ND FLOOR",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402457",
            "telephone_number": "650-965-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYVIEW COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2013-06-27",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "220000415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR11533G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kavitha Master Sankar Raj, M.D.
• Robert Master, MD
• Andrea Mata
• Jordan Evans Matthews, NP
• Mayview Community Clinic
• Vicki Mazzorana, M.D
• David Andrew McCall, M.D.
• William Desmond McCallum, M.D.
• James Patrick McCarthy, CCP
• Monica McCarthy

• Community Health Clinic/Center in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.