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

270 Grant Ave
Palo Alto, CA 94306-1911

Phone

(650) 327-1223

Fax

(650) 327-8572

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Kelvin Quan

Title

Ceo

Phone

(650) 327-1223

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 3

Change of ownership 3

Medicare changes of ownership in which this facility was the buyer or the seller.

• South County Community Health Center Inc

  • Primary Care Clinic/Center
  • Mountain View, CA
  • NPI 1164055034

  Sold to, 2020-04-01

  CMS change of ownership
• South County Community Health Center Inc

  • Primary Care Clinic/Center
  • Sunnyvale, CA
  • NPI 1730712613

  Sold to, 2020-04-01

  CMS change of ownership
• South County Community Health Center Inc

  • Primary Care Clinic/Center
  • Palo Alto, CA
  • NPI 1861025736

  Sold to, 2020-04-01

  CMS change of ownership

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1780796540",
    "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",
            "fax_number": "650-327-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 GRANT AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061911",
            "telephone_number": "650-327-1223",
            "fax_number": "650-327-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYVIEW COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "QUAN",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-327-1223"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "220000415",
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "220000433",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "550000159",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EAPC FUNDING",
            "identifier": "EAP11533G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZR11763F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR11533G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM71131F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Gail Mayer, LSCW, C-ASWCM
• Olivia Mayer, RD
• Elizabeth Wilson Mayne, MD
• Ivan Daniel Mayor, MD
• Mayview Community Clinic
• Richard Irwin Mazze, M.D.
• Constance Ohlrich Mazzetti, DDS
• Robert John Mazzetti, DDS
• Bettina McAdoo, M.D.
• Catherine A McAndrews, RD

• Community Health Clinic/Center in Palo Alto, CA
• Providers in Palo Alto, 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 Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.