NPIMap

Organization Active NPI

Momentum for Health

  • Community/Behavioral Health Agency
  • San Jose, CA
National Provider Identifier
1508083205
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MOMENTUM FOR HEALTH
Practice address
438 N White Rd
San Jose, CA 95127-1439
Phone
(408) 254-6828
Fax
(408) 642-6052
NPI assigned
Apr 20, 2007
Organization subpart
Yes
Parent organization
MOMENTUM FOR HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
David K. Mineta
Title
Ceo
Phone
(669) 213-0755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

438 N White Rd
San Jose, CA 95127-1439

Mailing address

1922 The Alameda Ste 316
San Jose, CA 95126-1461
Phone (408) 261-7777

Other identifiers 1

IdentifierTypeStateIssuer
000008369MedicaidCA

Other names 3

  • Momentum for Health - Eastside Outpatient Doing business as
  • Alliance for Community Care - Eastside Former legal business name
  • Momentum for Mental Health - Eastside Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618001294 CA Part B Supplier - Clinic/Group Practice 2769377217 Receives reassigned benefits from 101 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Jose, CA; Palo Alto, CA; Mountain View, CA

Other NPIs on the same Medicare enrollment 20

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

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Momentum for Mental Health - Assist Solano Outpatient39 organizations share this tax ID, including this one
Part of
Momentum for Mental Health - Assist Solano Outpatient

Other organizations with this tax ID 38

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

View all 38

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1508083205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 THE ALAMEDA STE 316",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261461",
            "telephone_number": "408-261-7777",
            "fax_number": "408-642-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 N WHITE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951271439",
            "telephone_number": "408-254-6828",
            "fax_number": "408-642-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM FOR HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOMENTUM FOR HEALTH",
        "enumeration_date": "2007-04-20",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "MINETA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "669-213-0755"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000008369",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momentum for Health - Eastside Outpatient",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alliance for Community Care - Eastside",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Momentum for Mental Health - Eastside",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.