NPIMap

Organization Active NPI

Asian Americans for Community Involvement of Santa Clara County, Inc

  • Clinic/Center
  • San Jose, CA
National Provider Identifier
1750490363
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY, INC
Practice address
2400 Moorpark Ave
Suite 319
San Jose, CA 95128
Phone
(408) 975-2763
Fax
(408) 975-2764
NPI assigned
Aug 29, 2006
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Sarita Kohli, LMFT, MBANPI 1376683920
Title
President & Ceo
Phone
(408) 975-2730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Case Manager/Care Coordinator 171M00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

2400 Moorpark Ave
Suite 319
San Jose, CA 95128

Mailing address

2400 Moorpark Ave
Suite 319
San Jose, CA 95128
Phone (408) 975-2763

Other practice location 1

266 N Jackson Ave Ste 5
San Jose, CA 95116-1606
Phone (408) 975-2730

Other practice location 2

266 N Jackson Ave
San Jose, CA 95116-1606
Phone (408) 975-2763

Other identifiers 3

IdentifierTypeStateIssuer
EAP70850FOtherCAMEDICAID EAPC PROGRAM
BCP70850FOtherCAMEDICAID BCP PROGRAM
FHC70850FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040129000646 CA Part B Supplier - Clinic/Group Practice 7719880533 Receives reassigned benefits from 61 practitioners
2 other NPIs on this enrollment
Practice locations: San Jose, CA
O20060203000110 CA Part A Provider - Federally Qualified Health Center (FQHC) 7719880533 Practice locations: San Jose, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750490363. Details of each certification follow.

Federally qualified health center certification: CCN 051049

Legal name
ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 10, 2006
Last certification
May 10, 2006
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Nov 27, 1973 in CA
Enrollment address
2400 Moorpark Ave 319
San Jose, CA 95128-2625

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Accicst21 organizations share this tax ID, including this one
Part of
Accicst

Other organizations with this tax ID 20

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

View all 20

Locations

2400 Moorpark Ave
Ste 300
San Jose, CA 95128
Phone (408) 975-2763

2400 Moorpark Ave
Ste 319
San Jose, CA 95128
Phone 4089752730428

266 N Jackson Ave
San Jose, CA 95116
Phone (408) 937-7581

266 N Jackson Ave
Ste 1
San Jose, CA 95116
Phone (408) 272-1999

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lisa Chen Individual Operational/Managerial ControlBoard Member Mar 1, 2018
Raul Gorospe Individual Operational/Managerial ControlBoard Member-Treasurer Nov 11, 2019
Heather Kahai Individual Operational/Managerial ControlMedical Coder and Billing Manager Jan 15, 2022
Albert Ching Individual Corporate Director Sep 25, 2014
Monica Nayar Individual Operational/Managerial ControlBoard Member Jul 22, 2020
Lily Lim Individual Operational/Managerial ControlBoard Member Jun 26, 2015
Sarita Kohli Individual Corporate OfficerPresident & Ceo May 16, 2017
Ernesto Orduna Individual Operational/Managerial ControlBoard Member Jan 27, 2016
Jacqueline Guzman Individual Operational/Managerial ControlBoard Member-Secretary Jun 25, 2015

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Asian Americans for Community Involvement of Santa Clara CountySan Jose, CA, CCN 751144 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 3, 2015

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 88

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 88

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1750490363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MOORPARK AVE",
            "address_2": "SUITE 319",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-975-2763",
            "fax_number": "408-975-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MOORPARK AVE",
            "address_2": "SUITE 319",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "408-975-2763",
            "fax_number": "408-975-2764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "266 N Jackson Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161606",
            "country_code": "US",
            "telephone_number": "408-975-2730",
            "fax_number": "408-975-2764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "266 N Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161606",
            "country_code": "US",
            "telephone_number": "408-975-2763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT OF SANTA CLARA COUNTY, INC",
        "enumeration_date": "2006-08-29",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "SARITA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "408-975-2730",
        "authorized_official_credential": "LMFT, MBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID EAPC PROGRAM",
            "identifier": "EAP70850F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID BCP PROGRAM",
            "identifier": "BCP70850F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70850F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.