Organization Active NPI

Bay Area Maranatha Christian Center

  • Case Manager/Care Coordinator
  • San Jose, CA
National Provider Identifier
1952113458
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Jan 22, 2025

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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.