NPIMap

Organization Active NPI

Tiburcio Vasquez Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Castro Valley, CA
National Provider Identifier
1912695263
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TIBURCIO VASQUEZ HEALTH CENTER, INC.
Practice address
19400 Santa Maria Ave RM P7P8
Castro Valley, CA 94546-3400
Phone
(510) 471-5880
NPI assigned
Apr 25, 2023
Last updated
Apr 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Andrea Schwab-Galindo
Title
Chief Executive Officer
Phone
(510) 460-3855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

19400 Santa Maria Ave RM P7P8
Castro Valley, CA 94546-3400

Mailing address

1260 B St Ste 125
Hayward, CA 94541-2934
Phone (510) 690-6052

Other names 1

  • Castro Valley Health Center Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040309001428 CA Part B Supplier - Clinic/Group Practice 6608764709 Receives reassigned benefits from 28 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hayward, CA; Union City, CA; San Leandro, CA; Castro Valley, CA
O20260128000608 CA Part A Provider - Federally Qualified Health Center (FQHC) 6608764709 Practice locations: Castro Valley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912695263. Details of each certification follow.

Federally qualified health center certification: CCN A11040

Legal name
TIBURCIO VASQUEZ HEALTH CENTER, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 21, 2026
Last certification
Jan 21, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
19400 Santa Maria Ave.
Room P7 and P8
Castro Valley, CA 94546-3400

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 10

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

National Provider Directory

National Provider Directory
Tax ID family
Tiburcio Vasquez Health Center Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

19400 Santa Maria Ave
Rm P7P8
Castro Valley, CA 94546

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Vipan Bajwa Individual Corporate DirectorBoard Member Jul 1, 2023
Jennie Reyes Individual Corporate DirectorBoard Member Feb 1, 2016
Scott Coffin Individual Corporate DirectorBoard Member May 1, 2023
Jesse Robles Individual Corporate DirectorBoard Member Sep 1, 2005
Minyon Corcuchia Garde Individual Corporate DirectorBoard Member Feb 1, 2013
Andrea Schwab-Galindo Individual Corporate OfficerChief Executive Officer Jan 18, 2020
W-2 Managing EmployeeAd; Feb 4, 2013
Josue Hernandez Individual Corporate DirectorBoard Member May 1, 2015
Monica Salgado Individual W-2 Managing EmployeeSenior Executive of Facilities Oct 30, 1990
Jaime Patino Individual Corporate DirectorBoard Member Jul 1, 2014
Nancy Soto Individual Corporate DirectorBoard Member Feb 1, 1997

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1912695263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 B ST STE 125",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412934",
            "telephone_number": "510-690-6052",
            "fax_number": "510-679-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19400 SANTA MARIA AVE RM P7P8",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945463400",
            "telephone_number": "510-471-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIBURCIO VASQUEZ HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "SCHWAB-GALINDO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "510-460-3855"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castro Valley Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.