| Axis Community Health | |
|
5925 W Las Positas Blvd Suite 100 Pleasanton CA 94588-8537 | |
| (925) 462-1755 | |
| (925) 417-1503 |
| Full Name | Axis Community Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 5925 W Las Positas Blvd, Pleasanton, California |
| Authorized Official Name and Position | Elizabeth Perez-howe (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 5925 W Las Positas Blvd Ste 100 Pleasanton CA 94588-8537 Ph: (925) 462-1755 | Axis Community Health 5925 W Las Positas Blvd Suite 100 Pleasanton CA 94588-8537 Ph: (925) 462-1755 |
| NPI Number | 1609249994 |
|---|---|
| Provider Enumeration Date | 11/09/2015 |
| Last Update Date | 09/19/2025 |
| Certification Date | 09/19/2025 |
| Medicare PECOS PAC ID | 7012975071 |
|---|---|
| Medicare Enrollment ID | O20160720001487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609249994 | NPI | - | NPPES |
| FHC11593F | Medicaid | CA | |
| FHC70205F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | () | Primary |
| 171M00000X | Case Manager/care Coordinator | () | Secondary |
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