Organization · Type 2 NPI

Bay Area Community Health

Federally Qualified Health Center (FQHC) · San Jose, CA

NPI number 1720600760 Active

Practice location

2880 Story Rd Ste 10
San Jose, CA 95127-3942

Call (408) 729-9700 Map

Mailing address

40910 Fremont Blvd
Fremont, CA 94538-4375

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Angelica Mendoza Ruiz, MDPediatrics Physician San Jose, CA NPI 1720179989

Other federally qualified health center (fqhc) providers in San Jose

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NPI record

NPI: 1720600760
Entity type: Organization (Type 2)
Issued: May 13, 2020
Last updated: May 7, 2021
Status: Active
Subpart: Yes of Bay Area Community Health

Other names

<unavail>
San Jose Bach Family Community Clinic, Inc · doing business as

Authorized official

Jagat Sheth
Chief Financial Officer
(510) 252-6810

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720600760

Bay Area Community Health's National Provider Identifier is 1720600760, issued on May 13, 2020. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in San Jose, CA. The record was last updated on May 7, 2021.