MOWRY I – NPI #1649493180
Clinic/Center

MOWRY I is an AHC clinic located in FREMONT, CA. NPPES has assigned the NPI number 1649493180 to MOWRY I on April 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOWRY I” is a dba name, the actual legal business name for this organization is BAY AREA COMMUNITY HEALTH. 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 6 years ago on Jul 15, 2020. 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 MOWRY I below.

NPI Profile for
BAY AREA COMMUNITY HEALTH

NPI Number
1649493180
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
Doing Business As (dba): MOWRY I
Primary location
2299 MOWRY AVE STE 3B
FREMONT, CA 94538-1621
Phone: (510) 770-8133 Fax: (510) 713-6682
Mailing address
40910 FREMONT BLVD
FREMONT, CA 94538-4375
Phone: (510) 770-8040 Fax: (510) 623-8926
Organization Subpart
Yes - MOWRY I is subpart of another organization.
Authorized Official
JAGHET SHETH
CEO
Phone: (510) 252-5808
Updated
Certification Date
Jul 15, 2020

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 MOWRY I

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
OTHERLICENSE #140000481
MEDICAIDCAFHC70603F
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 140000481

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.