Organization · Type 2 NPI

Gardner Family Health Network

Community Health Clinic/Center · Alviso, CA

NPI number 1922625847 Active

Practice location

1621 Gold St
Alviso, CA 95002-3530

Call (408) 935-3900 Map

Mailing address

160 E Virginia St Ste 100
San Jose, CA 95112-5865

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center Primary	261QC1500X	None listed

Community Health Clinic/Center: Definition to come...

Another provider at this address

Carisa Marisol Borromeo, DNP, FNP-BCFamily Nurse Practitioner Alviso, CA NPI 1609649672

NPI record

NPI: 1922625847
Entity type: Organization (Type 2)
Issued: Jun 26, 2020
Last updated: Aug 11, 2020
Status: Active
Subpart: Yes of Gardner Family Health Network

Other names

<unavail>
Specialty Mental Health Alviso · doing business as

Authorized official

Christina Cornell
Credentialing Supervisor
(408) 579-6178

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 1922625847

Gardner Family Health Network's National Provider Identifier is 1922625847, issued on Jun 26, 2020. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Alviso, CA. The record was last updated on Aug 11, 2020.