Active NPI
Bay Area Community Health
- Federally Qualified Health Center (FQHC)
- Fremont, CA
National Provider Identifier
1811928849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 140000586
- Legal business name
- BAY AREA COMMUNITY HEALTH
- Practice address
- 39500 Liberty St
Fremont, CA 94538-2211 - Phone
- (510) 770-8133
- Fax
- (510) 770-8140
- NPI assigned
- Jul 6, 2006
- Last updated
- Jul 15, 2020
- Organization subpart
- Yes
- Parent organization
- BAY AREA COMMUNITY HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jagat Sheth
- Title
- Ceo
- Phone
- (510) 252-5808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 140000586 | CA | Primary |
Addresses
Primary practice location
39500 Liberty St
Fremont, CA 94538-2211
Mailing address
40910 Fremont Blvd
Fremont, CA 94538-4375
Phone (510) 770-8040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC70809F | Medicaid | CA |
National Provider Directory
National Provider Directory- Part of
- Tri City Health Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594771200000",
"number": "1811928849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40910 FREMONT BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945384375",
"telephone_number": "510-770-8040",
"fax_number": "510-623-8926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39500 LIBERTY ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382211",
"telephone_number": "510-770-8133",
"fax_number": "510-770-8140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY AREA COMMUNITY HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAY AREA COMMUNITY HEALTH",
"enumeration_date": "2006-07-06",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A",
"authorized_official_last_name": "SHETH",
"authorized_official_first_name": "JAGAT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "510-252-5808"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "CA",
"license": "140000586",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC70809F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
- Bay Area Community Health
- Bay Area Community Health (Mowry I)
- Bay Area Community Health (Bay Area Community Health Irvington Dave Clinic II - Medical Services)
- Bay Area Community Health (TCHC Dental Mobile CHOMP #V)
- Bay Area Community Health (BACH School Mobile Health Clinic II)
- Bay Area Community Health (Bay Area Community Health - Hope Project)
- Bay Area Community Health
- Bay Area Community Services, Inc. (South County Wellness Center)
- Bay Area Community Services, Inc.
- Bay Area Foot Care Inc (Bay Area Foot Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.