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MAYVIEW COMMUNITY HEALTH CENTER INC NPI 1780796540


NPI Information

NPI: 1780796540
Provider Name: MAYVIEW COMMUNITY HEALTH CENTER, INC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 05D0596659

Address:
270 GRANT AVE
PALO ALTO, CA
ZIP 94306
Phone: (650) 327-1223
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MAYVIEW COMMUNITY HEALTH CENTER, INC is a community health clinic center in Palo Alto, CA. MAYVIEW COMMUNITY HEALTH CENTER, INC NPI is 1780796540. The provider is registered as an organization entity type.

The provider's business location address is:

270 GRANT AVE
PALO ALTO, CA
ZIP 94306-911
Phone: (650) 327-1223
Fax: (650) 327-8572

The provider's authorized official is Kelvin Quan .
The authorized official title is Ceo and has the following contact phone number (650) 327-1223.

The CLIA number assigned to this NPI record is 05D0596659 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QC1500XClinic/CenterCommunity Health220000433CALIFORNIANo
2261QC1500XClinic/CenterCommunity Health550000159CALIFORNIANo
3261QC1500XClinic/CenterCommunity Health220000415CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1EAP11533GOTHERCALIFORNIAEAPC FUNDING
2CMM71131FMEDICAIDCALIFORNIA
3ZZZ14616ZMEDICARE PINCALIFORNIA
4ZZR11533GMEDICAIDCALIFORNIA
5ZZZ20121ZMEDICARE PINCALIFORNIA
6ZZZR11763FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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