Active NPI
Bay Area Maranatha Christian Center
- Case Manager/Care Coordinator
- San Jose, CA
National Provider Identifier
1952113458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- BAY AREA MARANATHA CHRISTIAN CENTER
- Practice address
- 1811 S 7TH St
San Jose, CA 95112-6074 - Phone
- (408) 280-7292
- NPI assigned
- Jan 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tyrone Partee, DMIN
- Title
- Senior Pastor/Ceo
- Phone
- (669) 270-9369
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Supports Brokerage Agency | 251X00000X |
Addresses
Primary practice location
1811 S 7TH St
San Jose, CA 95112-6074
Mailing address
1811 S 7TH St
San Jose, CA 95112-6074
National Provider Directory
National Provider DirectoryLocations
1811 S 7th St
San Jose, CA 95112
Phone (408) 280-7292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737504000000",
"number": "1952113458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 S 7TH ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951126074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 S 7TH ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951126074",
"telephone_number": "408-280-7292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY AREA MARANATHA CHRISTIAN CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-22",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A",
"authorized_official_last_name": "PARTEE",
"authorized_official_first_name": "TYRONE",
"authorized_official_title_or_position": "SENIOR PASTOR/CEO",
"authorized_official_telephone_number": "669-270-9369",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMIN"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.