NPIMap

Organization Active NPI

City of Fremont

Doing business as Mission San Jose High

  • Community/Behavioral Health Agency
  • Fremont, CA
National Provider Identifier
1801277223
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CITY OF FREMONT
Doing business as
Mission San Jose High
Practice address
41717 Palm Ave
Fremont, CA 94539-4722
Phone
(510) 657-3600
NPI assigned
Jun 11, 2015
Last updated
Aug 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Authorized official

Name
Ms. Annie Bailey, M.S., M.P.A., LMFT
Title
Administrator
Phone
(510) 547-2100

Specialties & licenses 1

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

Addresses

Primary practice location

41717 Palm Ave
Fremont, CA 94539-4722

Mailing address

PO Box 5006
Fremont, CA 94537-5006
Phone (510) 547-2100

Other names 1

  • Mission San Jose High Doing business as

National Provider Directory

National Provider Directory
Tax ID family
City of Fremont - Human Services Department32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

41717 Palm Ave
Fremont, CA 94539
Phone (510) 657-3600

41717 Palm Ave
Rm 810
Fremont, CA 94539

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1801277223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5006",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945375006",
            "telephone_number": "510-547-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41717 PALM AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945394722",
            "telephone_number": "510-657-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FREMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-547-2100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., M.P.A., LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission San Jose High",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.