BAY AREA COMMUNITY HEALTH – NPI #1063636223
Clinic/Center

BAY AREA COMMUNITY HEALTH is an AHC clinic located in FREMONT, CA. NPPES has assigned the NPI number 1063636223 to BAY AREA COMMUNITY HEALTH on April 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Jan 31, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BAY AREA COMMUNITY HEALTH below.

NPI Profile for
BAY AREA COMMUNITY HEALTH

NPI Number
1063636223
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BAY AREA COMMUNITY HEALTH
Primary location
39500 LIBERTY STREET
FREMONT, CA 94538-2211
Phone: (510) 770-8040 Fax: (510) 623-8926
Mailing address
40910 FREMONT BLVD
FREMONT, CA 94538-4375
Phone: (510) 770-8040 Fax: (510) 623-8926
Organization Subpart
Yes - BAY AREA COMMUNITY HEALTH is subpart of another organization.
Authorized Official
ZETTIE PAGE
CEO
Phone: (510) 252-6811
Updated
Certification Date
Jan 31, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BAY AREA COMMUNITY HEALTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCLINIC LICENSECA140000586
MEDICAIDCABCP70829F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
CA 140000586
171M00000X
- Case Manager/Care Coordinator

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.