Organization Active NPI

Gardner Family Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Jose, CA
National Provider Identifier
1740445477
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
52986 Issued in CA
Legal business name
GARDNER FAMILY CARE
Practice address
160 E Virginia St
#280
San Jose, CA 95112-5857
Phone
(408) 287-6200
Fax
(408) 998-1535
NPI assigned
Jul 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Ms. Cecily Zazueta, MFT
Title
Qi Coordinator
Phone
(408) 287-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 52986 CA Primary

Addresses

Primary practice location

160 E Virginia St
#280
San Jose, CA 95112-5857

Mailing address

160 E Virginia St
#280
San Jose, CA 95112-5857
Phone (408) 287-6200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1740445477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E VIRGINIA ST",
            "address_2": "#280",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125857",
            "telephone_number": "408-287-6200",
            "fax_number": "408-998-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E VIRGINIA ST",
            "address_2": "#280",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125857",
            "telephone_number": "408-287-6200",
            "fax_number": "408-998-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "ZAZUETA",
        "authorized_official_first_name": "CECILY",
        "authorized_official_title_or_position": "QI COORDINATOR",
        "authorized_official_telephone_number": "408-287-6200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "52986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 22, 2008; 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.