| Axis Community Health | |
|
4361 Railroad Ave Pleasanton CA 94566-6611 | |
| (925) 462-1755 | |
| Not Available |
| Full Name | Axis Community Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 4361 Railroad Ave, Pleasanton, California |
| Authorized Official Name and Position | Sue Compton (CEO) |
| Authorized Official Contact | 9254621755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Axis Community Health 4361 Railroad Ave Pleasanton CA 94566-6611 Ph: (925) 462-1755 | Axis Community Health 4361 Railroad Ave Pleasanton CA 94566-6611 Ph: (925) 462-1755 |
| NPI Number | 1376760546 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 01/30/2020 |
| Medicare PECOS PAC ID | 7012975071 |
|---|---|
| Medicare Enrollment ID | O20041222000621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376760546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | EAP11593F (California) | Primary |
| Provider Name | Gia Marie Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700965837 PECOS PAC ID: 2466558598 Enrollment ID: I20070505000130 |
| Provider Name | Susanne Harwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891898102 PECOS PAC ID: 5395874473 Enrollment ID: I20100527000764 |
| Provider Name | Cho Cho Lay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982681524 PECOS PAC ID: 4789615212 Enrollment ID: I20110622000659 |
| Provider Name | Natalie M Kiff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811048630 PECOS PAC ID: 0143472142 Enrollment ID: I20121219000392 |
| Provider Name | Priyanka Kallem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417114067 PECOS PAC ID: 7719122084 Enrollment ID: I20130315000142 |
| Provider Name | Dawnell Moody |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144431750 PECOS PAC ID: 9931385952 Enrollment ID: I20130517000085 |
| Provider Name | Sadaf A Zafer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821295882 PECOS PAC ID: 8123298494 Enrollment ID: I20131107001085 |
| Provider Name | Jennifer L Penney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396865952 PECOS PAC ID: 4284860644 Enrollment ID: I20131114000115 |
| Provider Name | Anuja Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841466471 PECOS PAC ID: 8325190440 Enrollment ID: I20131206000337 |
| Provider Name | Sudha M Chadalawada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316906845 PECOS PAC ID: 4981592722 Enrollment ID: I20140113000403 |
| Provider Name | Soniya Mehra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295026318 PECOS PAC ID: 4688891054 Enrollment ID: I20140807001841 |
| Provider Name | Susan Jean Guerrero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134460587 PECOS PAC ID: 2365766409 Enrollment ID: I20150121001463 |
| Provider Name | Parveen Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366673683 PECOS PAC ID: 4385809433 Enrollment ID: I20151029003034 |
| Provider Name | Michael Lee Wood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952534265 PECOS PAC ID: 8729398367 Enrollment ID: I20151110002061 |
| Provider Name | Reshma V Gandhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265748602 PECOS PAC ID: 1355584533 Enrollment ID: I20160106002234 |
| Provider Name | Tara Rosemary Ericksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780157115 PECOS PAC ID: 6406187657 Enrollment ID: I20191018002716 |
| Provider Name | Upama Barua |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952613036 PECOS PAC ID: 9335361013 Enrollment ID: I20191125000908 |
| Provider Name | Andrew C Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346656055 PECOS PAC ID: 8022432848 Enrollment ID: I20200727000227 |
| Provider Name | Kera Evin Njenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003411323 PECOS PAC ID: 5092119610 Enrollment ID: I20210804001814 |
Mehrnaz Jamali Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Pleasanton Ave Ste 110, Pleasanton, CA 94566 Phone: 925-484-4406 Fax: 925-484-0346 | |
Axis Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4361 Railroad Ave, Pleasanton, CA 94566 Phone: 925-462-1755 | |
Amg Medical Group (de), P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 Hopyard Rd Ste 100, Pleasanton, CA 94588 Phone: 561-901-1741 | |
Axis Community Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4361 Railroad Ave, Pleasanton, CA 94566 Phone: 925-968-9487 | |
Chen Md & Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4439 Stoneridge Dr, Ste 130, Pleasanton, CA 94588 Phone: 925-461-2840 | |
John Muir Physician Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5860 Owens Dr, Pleasanton, CA 94588 Phone: 925-952-2888 | |
Pleasanton Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5924 Stoneridge Dr Ste 103, Pleasanton, CA 94588 Phone: 925-417-7505 |